Hi Dr.Grief, I am a 46 yr old women who has just been diagnosed with a generalised advanced Cerebral Atropy, and 2 aneurysms which are very , very small in size, 1 is 3mm in the circle of willis and the another one which is in the base of my brain which is only 1mm...I have also been diagnosed with HHT which is also known as Oslen Weber rentu. What Ido you believe needs to happen as I haven t seen a specialised yet? Do you think I need to have the aneurysms clipped due to my HHT and what do you believe my life expectancy could be.? Thank you for your feedback ..Lorie
Hi, thanks for your query. You have 2. Symptomatic uncultured aneurysms. According to literature these should not be clipped as They should be managed with serial follow up. If aneurysms are ruptured it is emergency and should be clipped. If they are in ruptured then they will not cause any problems unless increase in size. Thanks