Medical Q&As

Subarachnoid haemorrhage - clipping?

Six months ago I suffered a subarachnoid haemorrhage caused by an aneurysm. I had a procedure done whereby a titanium clip was inserted around the blood vessel in my brain and I left hospital 8 days later. I am now 24 years old and due to return to hospital for my check up angiogram. I am still taking aspirin 75 everyday but am back to normal apart from that with the help of an excellent acupuncturist. My problem is that I have been unable to find out very much about this condition, and it\'s implications for the future.

Subarachnoid haemorrhage is the technical term for a particular form of brain haemorrhage. Most cases occur spontaneously without prior warning and are usually due to the leaking of blood from a congenital aneurysm in one of the blood vessels on the surface of the brain. The incidence of the condition is approximately 12 new cases per annum per 100,000 head of population. The outcome depends on the location of the haemorrhage and the amount of blood that is lost into the subarachnoid space. In some cases the extent of haemorrhage is so catastrophic that the person succumbs before medical help is available. In other cases the bleeding stops spontaneously and the person recovers however, they may have residual permanent disability. If the site of bleeding is surgically accessible the ruptured blood vessel can be repaired. In your case a metal clip was applied to the aneurysm, which appears to have been very successful judging by your lack of residual symptoms and early discharge from hospital. The recent development of sophisticated microdissection techniques (using a special surgical microscope) and the development of a wide assortment of titanium clips have dramatically changed the surgical treatment of these aneurysms. It will be necessary for you to attend your neurosurgeon for some time yet for postoperative follow up. However, your prognosis should be excellent since most people who have undergone successful “clipping” of an aneurysm can be regarded as being cured.