Treatment for a ruptured brain aneurysm is more costly than treatment for an unruptured one.
No matter if you are diagnosed with a brain aneurysm or an AVM in the Emergency Department or if your Primary Physician suspects or finds one, you will be referred to a Neurologist. A Neurologist is a doctor who is trained in brain conditions. A Neurosurgeon performs brain surgery with the assistance of a neuroradiologist who specializes in brain imaging.
Determining which procedure is best for treating a brain aneurysm depends on several factors. The availability of local surgeons with the necessary experience and equipment to perform the procedures may limit a patient's treatment options. The overall health of a patient plays a part as well. Then the location, size and condition of the aneurysm will also help to determine which treatment is best.
There are two types of treatments for aneurysms. Surgical and Endovascular Treatment. These treatments doesn't necessarily remove the aneurysm but the goal is to prevent the aneurysm from growing and rupturing in the future. It is also possible with these procedures to stop a leaking aneurysm from further bleeding with hopes in saving the patient from permanent brain damage.
The main treatment for an AVM is surgery. If you are at high risk of bleeding, surgery may be recommended. Surgery may completely remove the AVM when it is small and in an area where it can be removed with little risk of causing damage to the brain tissues. Endovascular Embolization and Radiosurgery are two other types treatments for AVM's.
Unfortunately, it's not always possible for the patient to get a second opinion on a diagnosis and treatment due to it being an emergency situation and quick action is necessary to save a life and prevent brain damage. However, if you have been diagnosed with either a brain aneurysm or an AVM you should feel comfortable with the treatment decision. It is important that the patient and their caregivers understand their options and know what to expect during and after treatment. Don't hesitate to ask questions and get a second or third opinion.