Kenneth Kee

A Simple Guide to Cerebral Aneurysm, Diagnosis, Treatment and Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Cerebral Aneurysm, Diagnosis and Treatment and Related Diseases

One of my patients had what he describes as the 'worst headache that he ever had followed by difficulty in swallowing'.

He was sent for brain scan which shows bleeding from a swollen blood vessel in the brain.

Because he was in China, his wife got hold of the SOS medical service which provided a private airplane.

He was then flown back to Singapore where I managed to get a neurosurgeon waiting to check on him on arrival.

Luckily for him his bleeding was mild and his operation to clip the aneurysm was successful.

Recently our Minister for Finance had a stroke due to the rupture of this brain aneurysm and has recovered from his illness after a brain surgery.

A cerebral aneurysm (termed a brain aneurysm) is a weak or thin spot on an artery in the brain that balloons or bulges out and becomes fill with blood.

The bulging aneurysm can press on the nerves or brain tissue.

It may also burst or rupture, spilling blood into the neighboring tissue (brain hemorrhage).

A ruptured aneurysm can produce serious health disorders such as hemorrhagic stroke, brain damage, coma and even death.

Some cerebral aneurysms, mostly those that are very small, may not bleed or cause other disorders.

These types of aneurysms are normally identified during imaging tests for other medical disorders.

Cerebral aneurysms can happen anywhere in the brain but most develop in the major arteries along the base of the skull.

Most are saccular (berry appearance) which is linked with a thin or absent tunica media and an absent or seriously fragmented internal elastic lamina.

Fusiform (circumferential) and mycotic (infectious) aneurysms are found in a small proportion.

Most cerebral aneurysms are silent and may be discovered incidentally on neuroimaging or upon autopsy.

About 85% of aneurysms are located in the anterior circulation, mainly at junctions along the circle of Willis.

Sub-arachnoid hemorrhage (SAH) normally happens with rupture and is linked with a high rate of morbidity and death.

Most cerebral aneurysms are acquired diseases with a higher incidence in patients with certain risk factors such as:
Advanced age,
Hypertension,
Smoking,
Alcohol abuse,
Atherosclerosis

Other causes are:
Cocaine use,
Tumors,
Trauma, and
Certain embolic-forming infections like endocarditis.

There is also a strong genetic factor with the incidence considerably increased in patients with a strong family history of aneurysms (in other words, more than one family member affected).

Un-ruptured cerebral aneurysms do not exhibit any symptoms and are therefore not detected based on history and physical exam alone.

When cerebral aneurysms are ruptured, they often present with a sudden onset of severe headache.

This is classically reported as a "thunderclap headache" or "worse headache of my life."

A headache may be followed by:
A brief loss of consciousness,
Neck stiffness
Nausea and vomiting.

Seizures are rare in less than 10% of patients.

Sudden death may also happen in 10 to 15% of patients.

CT scan is often the first test a doctor will order to determine if blood has leaked into the brain.

Small un-ruptured aneurysms may be safely left alone and monitored with CT scan

Surgical clipping or endovascular coiling or a flow diverter can be used to seal off a brain aneurysm and help prevent a future rupture.

Recovery from treatment or rupture may take weeks to months.

TABLE OF CONTENT
Introduction
Chapter 1 Cerebral Aneurysm
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Sub-Arach...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 8. November 2021
• Englisch
• ISBN-13: 9780463029817
• Artikelnr.: 75905263

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...