Category: Brain Aneurysm

What is the difference between an embolism and an aneurysm?

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With the sudden death of Martha Stewart’s youngest sister from a ruptured brain aneurysm, and the tragic loss locally of a young 17-year old from a pulmonary embolism, there has been some confusion between the two terms. They are not the same thing.

According to Dr. Mark Hoepfner on healthtap.com:

“In general, in any location of the body, an aneurysm is a weakness in the wall of the artery resulting in a ballooning or enlargement of that portion of the artery, and not necessarily a blockage of the artery.

An embolism would be a blood clot that forms and travels to the inside of a blood vessel causing an internal blockage of the vessel.”

If a large blood clot (embolism) blocks an artery, blood flow may be completely stopped, causing sudden death.

A ruptured aneurysm releases blood into the spaces around the brain, called a subarachnoid hemorrhage (SAH). SAH is life threatening with a 50% risk of death. Blood in the subarachnoid space increases pressure on the brain. At the same time, the area of brain that previously received oxygen-rich blood from the affected artery is now deprived of blood, resulting in a stroke.

With the two terms sounding so much alike, I can understand how people can get the two confused. Sadly, they can both result in sudden death. It is disconcerting that when news reports discuss a cause of death from either of these issues, they choose not to explain what they are or how they are diagnosed, treated, or any risk factors that may cause them. Knowledge is power and it could save a life.

I Remember

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As my six month anniversary of my brain aneurysm clipping arrives, I ran across the notes I took at my first followup appointment with the surgeon. I scribbled that the “bone has to heal”. I keep forgetting the bone will heal around the screws and plates holding the bone flap secure. The last several weeks, I have “felt” my brain/head/nerves when I lay at a flatter level in bed. It’s not painful, it’s just not a pleasant sensation. So I have added another pillow and that helps.

On Neurosurgery.com from Australia, there was this question: Does the bone heal back into the skull?  In most cases yes, but in some people it can re-absorb to a degree then you will have a depression in your skull.

I must be one of the “some people” statistic. I notice the depression and can feel it and Dave has noticed it, but unless I point it out to people I don’t think they know it’s there. So I should stop pointing it out, right? LOL Hey, I had a hole cut into my head and 53 stitches. It MAY just leave a scar, right?

I know things are continuing to heal. The scalp is still numb, but it appears to be getting some feeling back now. My short strands of hair that were shaved at the incision are now growing a tick longer and annoying the hell out of me! We’ll see if I can hold out one more month then get it all cut short for the rest of the summer.

I THINK I’m starting to get some energy back. Granted, I haven’t really DONE much of anything. I’m getting chubby, but I’m rested. That’s good isn’t it? I’m up for a full physical next week and have to get some lab work done this week. We’ll see how my numbers look.

Overall I’m doing well. I’m listening to my body and when I need to sleep, I sleep. At least I try to. The main reason I had this procedure done was so I can continue living and that’s what I’m trying to do…one month at a time. I must remember I am still recovering and must remember my head/skull/brain is still healing. My brain bling is firmly in place.

Chatty Cathy

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We had another brain aneurysm support group meeting in Portland. The turnout was not as good as in previous months and we’re sure it’s because of the beautiful weather we were having. There were only two of us for quite some time, then we learned the speaker had to cancel due to a death in the family. Now what?

Finally a few more people showed up and a decision to simply have an open forum of discussion was agreed upon. There were 21 at last month’s meeting and this month was about half that at 11. There were four survivors and 3 care givers, two mental health care givers, Dave’s sister Nancy, our own medical person from the hospital and a reporter. I knew there was a possibility the reporter would be there to write a story, so we were very pleased when a few more people showed up.

As it turns out, it was probably one of the best group sessions the reporter could have attended because there WASN’T a speaker. We spoke freely, asked questions of one another and shared frustrations, fears, and our collective “brain bling” because the four survivors in the group were craniotomy & clipping recipients. It was a wonderful hour and 15 minutes of sharing and in some cases educational for a few.

I seemed to think I was overly talkative when I thought about it afterwards. I think because the reporter WAS there, I wanted to make sure some of the efforts of our group and our events were brought to attention as well as some of my own personal experience. And perhaps I did a bit too much. Probably the reason the reporter never spoke to me personally about my experience…I blabbed about it the whole meeting. LOL I was the only one she didn’t seem to speak with afterwards. I guess I gave her enough info…and then some, or my story just wasn’t that intriguing.

It was nice to speak up and out. I don’t get the opportunity very much, other than in this blog, and I never know who is, and isn’t reading my blog because they rarely make themselves known to me. I enjoyed knowing I could speak freely and have people understand some of what I was talking about. I hope I didn’t do too much or interrupt. Listening is the most important thing you can do at a support group meeting. It’s why we’re there…to lend support and allow people to speak. I just spoke…and spoke…and spoke. So I apologize if I ran over anyone. Chatty Cathy can be powerful!

Gravity

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Since my craniotomy brain aneurysm clipping surgery in January, I have slept at an angle with a large, decorative pillow behind my regular pillow. I decided to try sleeping with a regular one instead and realized I guess I can’t sleep that low. I was kind of surprised.

I had trouble getting to sleep the other night. My skull was “acting up”. I have yet to find the correct word to describe how it feels. It’s not hurting per say, but it feels strange and kind of aching and disarming. Almost like someone is squeezing my brain, or at least the tissues around my brain. I’m sure it’s just all of those layers of tissue continuing to heal after being cut apart and pealed way from my skull, but laying down flatter certainly made it more prevalent.

Gravity was not my friend. I tried to get comfortable. I always start to sleep on my right side anyway, but even that wasn’t very comfortable. I rolled over and that didn’t help, even when I tried to position the pillows so they weren’t touching my head in that area. Which is NOT easy, trust me! 🙂

So, I grabbed the large pillow again and positioned that behind my head and that helped…or at least psychologically it helped me. I’m not sure if this is just part of that healing and recovery process or if laying lower really created that discomfort. I had the same discomfort driving home from work today. I know I can’t blame that on gravity as I don’t normally lay down while driving! I think they frown upon that.

Dave has urged me to take advantage of our medical personnel presence at the brain aneurysm support group this Friday to ask her if I should be concerned or if that’s just a normal part of the healing and recovery. I just wish I could describe the feeling better.