Talk:Aneurysm/Archive 1

Ectasy redirects to Aneurysm
Why is this if someone wants to only know about the drug??
 * It doesn't do that anymore now. See Ecstasy --WS 11:35, 16 January 2006 (UTC)

hi everyone!!

Tunica Intima
The discussion of layers "the tunica intima (commonly known as the intima), the tunica media (commonly known as the media), and the tunica adventitia (commonly known as the adventitia" should indicate which is the inner and which the outer. (Unsigned by anon)


 * You can do it yourself! Just press "edit this page" and make the necessary changes! JFW | T@lk  15:05, 9 Sep 2004 (UTC)

I added some information about venous aneurysms before I registered a user name (I added them as ip 24.13.36.66). Admittedly they are rare, but in researching them I did come across a few people who had them or knew someone who did from within my circle of friends/family/co-workers. They are different enough in risks and impact to deserve mention.User:Superclear

"Clipping"
It seems a bit odd to link to clipping in the intervention section, a page which then has to disambiguate between the various meanings of the word. Perhaps "clipping" should be disambiguated? Anybody up to the task? Tim 01:21, 2004 Oct 8 (UTC)
 * Done --WS 11:33, 16 January 2006 (UTC)

Aneurysm Treatment
I think there should be a separate section on the treatment of aneurysms. Currently, the section on 'Brain Aneurysm' treatment is ok, but there are a few added lines on the treatment of extra-cerebral aneurysms. I will try and clean this up a bit.

--Felgerkarb 22:17, 17 June 2006 (UTC)

I just edited the treatment section to clear up some mis-statements in the text, as follows:
 * there is a higher angiographic recurrence rate with cerebral aneurysms treated with coiling, however, there is no difference in re-bleeding rate between clipped and coiled aneurysms. These are two different things. We don't really know the angiographic recurrence rate in clipped aneurysms, as angio's are not routinely done afterwards, but it is thought to be lower based on small scale data.
 * In patients with Subarachnoid hemorrhage, there is large scale, blinded, randomized data (I-A) that shows a 7% lower mortality rate in patients treated with coiling than clipping.
 * Older patients have higher surgical risk, not any particular benefit from coiling over other patients.

The is all in the ISAT data reference in the article.

Felgerkarb (talk) 17:20, 18 March 2010 (UTC)

Aneurysmal Bone Cyst
Where should this be put? This is a kind of tumor, but it kinda fails to fall under any of the classifications we have here. I have first hand experience with these kind of extremely rare tumors, and if i could help by writing an article that would be great. Just let me know where i should put this under, or make a new article.

Bearingbreaker92 02:14, 8 July 2006 (UTC)

Symptoms and diagnosis
I find no indication of symptoms or the means of diagnosis. Can someone add this? --Tysto 01:07, 26 July 2006 (UTC) I also looked in vain for any information about symptoms. —Preceding unsigned comment added by 80.213.26.120 (talk) 21:41, 22 January 2008 (UTC)

Fusiform - spindle?
The use of the term "spindle" to describe a Fusiform Aneurysm is ... not useful at all. I know there is another reference out there that uses the term spindle, but it's not an appropriate description, I had no idea what it meant and none of the dictionary definitions of the word fit. We need to come up with a better word/description. Do a google images search for "Fusiform Aneurysm" to see what we actually need to describe.

My first whack at it - "a fusiform aneurysm is a dialation of the entire circumference of the vessel". It'd also be really nice if we had some diagrams showing the types, as this would make it completely clear what they look like.

I'm also not so certain of the "Aneurysms are also described according to size" statement leading into the two types. This reference, although it describes aortic aneurysms, makes clear that it's the physical structure of the aneurysm that determines it's "type":


 * "three basic types are usually found. If all three layers of the vessel are affected and weakness develops along an extended area of the vessel, the weakened area will appear as a large, bulging region of blood vessel; this is called a fusiform aneurysm. If weakness develops between the inner and outer layers of the aortic wall, a bulge results as blood from the interior of the vessel is pushed around the damaged region in the wall and collects between these layers. This is called a dissecting aneurysm because one layer is "dissected" or separated from another. If damage occurs to only the middle (muscular) layer of the vessel, a sack-like bulge can form; therefore, this is a saccular aneurysm."

CraigWyllie 19:44, 14 January 2007 (UTC)

Causes of aneurysms
Although this article lists the risk factors that increase the probability of developing an aneurysm, what are the actual specific causes of an aneurysm? Also, what causes blood clots? —The preceding unsigned comment was added by 129.137.155.162 (talk) 05:30, 12 April 2007 (UTC).

Reorganization
This article still needs a lot of work. I've done some. I removed from the introduction the section on arterial layers, which is too specific for a general overview, and moved it to where the structure of an aneurysm is explained. I replaced the completely wrong description of pseudoaneurysm. Aneurysms do not really occur in all blood vessels, i.e., not in tiny veins or capillaries. I re-structured the first few sections into a exposition of alternative "classifications" of aneurysms. I have not yet gotten around to the remainder. We need better references, and links to suggest further reading. The image of a sewn-up scalp does not illustrate what is peculiar to aneurysms. As noted in previous posts, we need diagrams that contrast saccular (berry), fusiform and pseudo- aneurysms. These will allow the text to remain terse without being incomprehensibly technical for the majority of visitors. Myron 22:41, 10 May 2007 (UTC)

mycotic (infected) aneurysm
clinicials and pathologists still use the term "mycotic aneurysm." I've heard in med school and in the hospital yet the word "mycotic" does not appear anywhere in this article. Please add it somewhere so if someone is searching wikipedia pages with google, it will show up.

http://www.medscape.com/viewarticle/410168 for more resources: google: "mycotic aneurysm" —Preceding unsigned comment added by 207.151.244.162 (talk) 21:39, 6 September 2007 (UTC)

Cardiac aneurysms
This article should contain more about ventricular aneurysms. —Preceding unsigned comment added by 194.54.110.98 (talk) 20:43, 24 April 2008 (UTC)

aneurysm per definition is in arteries only
the text saying it is mostly in arteries is probably incorrect as an aneurysm is only in arteries. if the dilatation were in a vein, the only other possible place, it is a varice. that should be corrected. however i agree that a popliteal venous aneurysm exists. anyhow that is against nomenclature if i am not mistaken. —Preceding unsigned comment added by 78.24.12.3 (talk) 20:08, 19 May 2008 (UTC)

Could use more of a lay person friendly format
This page seems to contain little information that is understandable for a lay person without additional research of every technical term used. It goes back and forth sometimes in the required knowledge level from a friendly "Therefore keeping strength of arteries up would seem to be even more important than keeping blood pressure down." to "Most frequent site of occurrence is in the anterior cerebral artery from the circle of Willis." 67.76.143.8 (talk) 21:07, 7 July 2008 (UTC)

Net aneurysm
atherosclerosis refers to a net aneurysm but this article does not mention net aneurysms. Should/Could it? Rod57 (talk) 19:57, 18 November 2008 (UTC)

Symptoms?
Maybe it's just me, but this particular page does not state many symptoms of an aneurysm? My friend had one today so I looked it up. I came across this page but it did not say about any of the symptoms. From personal experience, I know that some symptoms include dizziness, speech and writing trouble, comprehension issues, major headache, and falling asleep. --5ahupt (talk) 01:46, 27 February 2009 (UTC)

Laplace law
"Specifically, the Laplace law states that the (arterial) wall tension is proportional to the pressure times the radius of the arterial conduit (T = P X R)."

It took me time to understand why this formula was correct. If one applies the Laplace formula to a cylinder P2 - P1 = T (1 / R1 + 1 / R2), in one direction the cylinder is flat, which leads to an infinite curvature radius, and 1 / R2 is equal to zero. The radius of the cylinder is the only term to remain. MathsPoetry (talk) 13:53, 10 March 2009 (UTC)

Diabetes NOT a risk factor for aneurysms
One such paper referring to many studies done on aortic aneurysms. In fact, observational studies show that diabetics have half the risk for aneurysm than control. The American Journal of Cardiology Volume 101, Issue 11, 1 June 2008, Pages 1680-1681 Diabetes and Aortic Aneurysms

There are numerous other papers regarding berry aneurysms as well which also fail to find links between diabetes and aneurysm. 128.232.249.94 (talk) 17:52, 28 March 2009 (UTC)

More on endovascular Techniques
Endovascular Aneurysm Repair or EVAR is becomming more and more common as are many endovascular methods. There should be more about this on this page as a large portion of new endovascular methods are directed towards aortic aneurysms.

How an Aneurysm Forms
What causes this disorder (aneurysm)? genetic and lifestyle - usually diet, smoking etc

a blow to the head or a concussion of some sort? nope a head injury will not give you an anuerism

Aneurysm Rate
How Common are Aneurysms?

Disease/Condition Code
I've noticed that this is a health/emdical problem. But it has no code in the article, can you find it? Falconleaf

cerebral hemorrage
Are Aneurysms and cerebral hemorrages the same thing? Related?

A bit off-topic but a true and related problem.
So, if this is beyond normal scope and I assuem it is, id love to be directed to the appropriate place. I want to read this article, and many others. But I have a mitral valve prolapse. So how can I read this article without groping at my chest repeatedly? Im being completely serious yes. Its a heart problem that feels worse when i try to find out about heart problems. 74.128.56.194 (talk) 10:57, 4 June 2011 (UTC)

Aneurysm types
The section called "aneurysm types" is really not adding anything to the article; it's just a list of terms with no explanation. Maybe a description of how aneurysms are classified would be more appropriate, with links to wiki pages on specific types if such pages exist. The12thMan (talk) 19:52, 16 July 2011 (UTC)

Bleb
I've heard about the existence of so called blebs in/on aneurysms. Failed to find a clear description of what they are on google and pubmed. Are the blebs filled with serous fluid? Can anyone explain what they are? Pizzaman (talk) 09:05, 12 March 2010 (UTC)

Bleb is ambiguous medical jargon for a small outpouching. In an aneurysm, the bleb will therefore be an additional small outpouching of the aneurysm, filled with the blood from within the vessel associated with the aneurysm. Someone might also say "bleb" when they aren't sure if a vessel dilation is large enough to call an aneurysm. Bleb is also used to describe air cells in the lungs (nothing to do with aneurysms) in patients with disease of the lungs that predisposed them to pneumothorax Bakerstmd (talk) 18:51, 6 March 2014 (UTC)