How to check intracranial aneurysm and what procedures are required

If the arteries are hardened, it is easy to cause aneurysms, and the incidence rate is relatively high in people over 50 years old. Let's see how to check for intracranial aneurysms? What projects do you need to do?

Examination items for intracranial aneurysms include:

1. There are generally no specific changes in blood routine, erythrocyte sedimentation rate and urine routine. In the early stage of aneurysm rupture and bleeding, the white blood cell count often exceeds 10×109/L, and the blood sedimentation rate usually increases from mild to moderate, and the degree of increase is consistent with the degree of white blood cell increase. Proteinuria and glycosuria may appear in the early stage, and tubular urine may occur in severe cases. Proteinuria lasts for a short time and returns to normal after a few days.

2. When the aneurysm is not ruptured during lumbar puncture, there are usually no abnormal changes in the cerebrospinal fluid examination during lumbar puncture. In the case of rupture and bleeding, lumbar puncture is direct evidence for the diagnosis of subarachnoid hemorrhage after aneurysm rupture. The lumbar puncture pressure is mostly between 1.96 and 2.84 kPa. However, the duration of lumbar puncture is also related to the change in pressure. After the aneurysm rupture is found, the intracranial pressure can rise sharply to 8.8 to 19.6 kPa, and the intracranial pressure drops after half an hour. The lumbar cerebrospinal fluid is usually bloody. Microscopic examination shows that the cerebrospinal fluid contains a large number of red blood cells. Repeated lumbar puncture examinations can determine whether the bleeding has stopped based on the freshness of the cerebrospinal fluid and the number of old red blood cells. However, when the intracranial pressure is very high, the lumbar puncture should be performed carefully and discharged slowly to avoid inducing brain herniation.

Daily aneurysm patients should pay attention to limiting fat intake. Animal fat intake should be limited in the diet. When cooking, vegetable oil should be used more for cooking, and cholesterol should be limited to less than 300 mg per day. You can eat more fish. Marine fish contains unsaturated fatty acids, which can oxidize cholesterol, lower plasma cholesterol, prolong platelet coagulation, inhibit thrombosis, and prevent stroke. It also contains more linoleic acid, which can increase the elasticity of microvessels and prevent blood vessel rupture and complications of hypertension.

If you feel uncomfortable, you can go to a regular hospital for a check-up. In many cases, aneurysms are often not discovered in time due to lack of attention in the early stages.