HEADACHE WITH CHANGE IN THE SIZE OF ONE PUPIL, NAUSEA, DOUBLE VISION, SEVERE PAIN BEHIND THE EYE, AND CONFUSION: TREATMENT

by admin on April 2nd, 2009. Filed under General health

Twenty years ago, when a person was diagnosed with an intracerebral hemorrhage, many doctors often opted against treatment since the condition almost always meant certain death. Today, if the intracerebral hemorrhage is caught early and treated with microsurgery, the person can be saved. Once in the emergency room, the doctor will examine you for signs of an intracerebral hemorrhage with a CAT scan and maybe do a lumbar puncture (see treatment under “Headache in the Morning, Made Worse by Sneezing, Coughing” above, for more information about this procedure). Once the diagnosis is confirmed, surgery can begin to repair the blood vessel or aneurysm. If the aneurysm is caught early, you will recover fully.

I have a 52-year-old patient who experienced a severe headache on a subway platform one morning. She also felt weak, and she passed out. She later told me that she had had a constant headache for several days before she passed out, and she had never suffered from headaches before.

She was rushed from the subway platform to a large New York hospital where the doctors were able to quickly diagnose that she had a brain aneurysm that was bleeding; her different-sized pupils gave her condition away. The doctors performed emergency surgery to clip the bleeding vessel and stop the hemorrhage. Since the surgery, she has had no residual side effects and has been carrying on with her life as usual. After surgery, she spent two weeks in the hospital, and after two months she returned to work. A year later she shows no signs of the aneurysm.

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