Hereditary?

From the February 24th, 2007 issue of Science News.

Aneurysm risk may get passed down.

A heightened risk of having a brain aneurysm seems to be passed down in some families, and the life-threatening rupture of an aneurysm appears to strike earlier in a succeeding generation, a study finds.

An aneurysm is a ballooning of a blood-vessel associated with weakening of the vessel’s walls. While most brain aneurysms never rupture, those that do cause bleeding stroke and are fatal up to 50% of the time.

Past research has shown that about 10% of people who develop a brain aneurysm have a relative who has one, a significantly higher proportion than among people in general, say Daniel Woo, a neurologist at the University of Cincinnati.

Woo and his colleagues contacted 35 families with a history of brain aneurysms. They found that children of a person with a brain aneurysm that ruptured faced twice the risk of having a brain aneurysm than children whose parents had aneurysms that never ruptured. The risk showed up even though the younger people smoked less and had lower blood pressure.

Moreover, aneurysm ruptures in the second generation occurred, on average, at age 41, whereas the ruptures struck parents when they were 56 years old on average.

The search for a genetic defect that could explain the increased risk is under way, Woo says.

Meanwhile, any of the several brain-imaging techniques can detect brain aneurysms, Woo says. “In a family with a strong history of ruptured aneurysms, you might want to test the offspring at a young age.” he adds.

More Family Stuff

Over the past week or so, I have been in contact with my cousin who had coiling done on an un-ruptured aneurysm a couple of years ago. I was encouraged to hear her sister had had an MRI and everything looked fine, but unnerved by some info I don’t believe I was ever told, or I had forgotten.

My great grandmother died in her fifties suddenly while doing laundry and my grandfather’s sister died while brushing her teeth. I don’t believe, due to the lack of medical advancements at the time, either were diagnosed as aneurysms, but it certainly gives one pause given the fact I have two first cousins who had annies, and then myself.

It’s been nice connecting with her. She had one annie coiled and does have another one that they are monitoring, but luckily there has been no change and she won’t have to go back for another two years for a check up. She was very lucky to have it discovered before it ruptured.

Working

Today marked the start of my third week of working three days a week. I put in four hour days the first week of Feb., then worked until 2:00 last week and tried it to 3:00 today. That might have been pushing it. If I didn’t have to drive home 30 miles afterwards, I could probably put in a full day….or maybe not.

With my disability running out in March, I’m starting to feel I’m on a strict time table to work a full 40 hour week, but I might not happen for awhile yet and I’ll just have to take the cut in pay and lose all my personal/vacation time if need be. I’m not sure if the disability can be extended if the Dr’s say I need more time or not. Looking into it.

It has felt good to have to get up in the morning and be somewhere, other than a Dr’s appointment. I’m feeling useful again and that’s really important. I just wish I weren’t so darn tired when I get home. It takes a lot out of me. I am sleeping better the nights I work, so I guess that’s good, but it also makes it hard to get up in the morning.

My annie-related headaches are decreasing in intensity finally. I find my eyes are bothering me more than my head right now. They get very tired and sore after working and driving and stores are still an issue. So I’m still recovering and have to remember that. I’m a long way from 100% still, but it’s getting there.

I’m trying not to complain to people at work when they ask me how I’m doing because in reality, compared to where I was in October, I’m doing great. I shouldn’t be complaining. Poor Dave has to endure my complaining. He’s been a saint through it all. I’m not sure I deserve him.

My 4-Month Anniversary

On this, the 4-month anniversary (or “annie”-versary) of my ruptured aneurysm and coiling surgery, I am trying to reflect on what I HAVE been able to accomplish during my recovery, instead of what I still can’t do. It goes something like this

Four months from the time of my ruptured aneurysm, I am able to:

    Bend over without getting dizzy.
    Lift things heavier than a breakfast tray.
    Fill and unload the dishwasher without the aid of sitting down.
    Go downstairs to the basement.
    Do laundry.
    Go downstairs to feed the cats.
    Shower and bath unaided by a seat.
    Dry my hair standing up.
    Make meals.
    Sit at the computer for a few hours.
    Lay down without my head pounding.
    Control most head pain I have without Vicodin, but with Tylenol.
    Go into a store, albeit smaller ones still.
    Drive!
    Go to work part-time.
    Sneeze without fear of my coils exploding.
    Go to a movie.
    Fill the bird feeders.
    Walk without the aid of a cane.
    Laugh and not get too exhausted.
    See my psychologist.
    Read a little bit more and it doesn’t bother me.
    Make the bed.
    Make love. (it’s gotta be said for those other survivors who are reading this and are nervous about themselves.)
    Bake a cake.
    Clean the house a little bit more.
    Speak to other annie survivors.
    Plan my future!
    LIVE!

I’m sure there are more things I’m forgetting, but those are the biggies that I’m recalling needing so much assistance with during those first few weeks when I arrived home after 20 days in the hospital. There are still downsides to my recovery, but today I choose to acknowledge the things I CAN do now, that I wasn’t able to before. ‘nuff said.