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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Brain Aneurysm Be Treated?

My mom had a brain annuersym on jan 15 she is in a rehab and is scheduled for a reinsert of her skull peice. she had contracted sidamonas from the hospital and she has a current infection not sure exactly what they havent told us her surgery was scheduled for the 9th of july and they said now there is 3 medicines that will fight the infection sounds like 2 has pennacillin in them which she is allergic two she had a pic line in so the last one was an iv the pic line had to be removed because they ended up ripping it out changing her I was wondering if there is anything i can do to get a second oppinion insted of relying on the in house doctor. At this point I really cant trust her I feel she is not doing best for my mom. My mom is on medicade and trying to find someone in my area I am near toms river nj.
Tue, 23 Feb 2016
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Neurologist, Surgical,  's  Response
Hello and thanks for using HCM.

I have read your question and understand your concerns.

A ruptured brain aneurysm should be treated by surgery ( clipping) or by endovascular embolisation (coiling), because re-bleeding could be catastrophic.

If the aneurysm is closed by these measures there is no risk of re-bleeding.

Since there was infection (Pseudomonas right?), first there is need to treat it by using antibiotics according to antibogram culture results.

If your mother is allergic to penicillin, she could not use it or other penicillin related antibiotics.

The treatment of the aneurysm should be done after the infection is treated successfully and confirmed by blood tests.

Till then, control of blood pressure between normal ranges is necessary to avoid re-bleeding.

Hope you found the answer helpful.

Greetings.

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How Can Brain Aneurysm Be Treated?

Hello and thanks for using HCM. I have read your question and understand your concerns. A ruptured brain aneurysm should be treated by surgery ( clipping) or by endovascular embolisation (coiling), because re-bleeding could be catastrophic. If the aneurysm is closed by these measures there is no risk of re-bleeding. Since there was infection (Pseudomonas right?), first there is need to treat it by using antibiotics according to antibogram culture results. If your mother is allergic to penicillin, she could not use it or other penicillin related antibiotics. The treatment of the aneurysm should be done after the infection is treated successfully and confirmed by blood tests. Till then, control of blood pressure between normal ranges is necessary to avoid re-bleeding. Hope you found the answer helpful. Greetings.