General Information

Sexual disinhibition occurs because of the damage to the part of the brain that helps control our behaviour. This usually improves with further recovery, therapy or some may need medication.

Apathy

A general apathy or disinterest in life and a lack of self-esteem and self-confidence.

Emotional Liability

An individual may find themselves laughing uncontrollably at something that is only moderately funny, being unable to stop themselves for several minutes. Episodes may also be mood-incongruent; an individual might laugh uncontrollably when angry or frustrated, for example.
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Endovascular Coiling

If you've had an aneurysm treated by coiling you must have wondered about those coils in your head. What are they made of? How did they get there? Will they come out? Will I need more? Well I'm going to attempt to answer some of those questions here.

Firstly, My qualifications: I'm not a doctor or surgeon. Nor indeed am I a medical expert of any kind, but I suffered a brain haemorrhage in 2006 due to a ruptured aneurysm and had it treated by coiling. One of the things that concerned me when I was discharged from hospital was the lack of information about what had happened to me and how it had been treated. There are many medical articles out there on the web that deal with subarachnoid haemorrhage and coiling, but understanding the jargon can be a bit daunting, so I will try to give you the benifit of my own research and explain things in simple terms.
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10% of SAH cases are due to non-aneurysmal perimesencephalic haemorrhage, in which the blood is limited to the area of the midbrain. No aneurysms are generally found and prognosis is good.
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A collection of medical articles from around the web relating to cerebral aneurysms and subarachnoid haemorrhage. The articles are technical in nature, but worth a read if you can get around the medical jargon.

Subarachnoid haemorrhage: diagnosis, causes and management
J. van Gijn and G. J. E. Rinkel
Department of Neurology, University Medical Centre, Utrecht, The Netherlands

Cerebral Aneurysm
Jonathan L Brisman, MD
Director, Cerebrovascular and Endovascular Neurosurgery, Winthrop University Hospital

Subarachnoid Haemorrhage
Jennifer Krawczyk, MD
Clinical Assistant Professor, Department of Internal Medicine, Division of Emergency Medicine, University of California at Irvine

Brain Aneurysm
Federico C Vinas, M
Consulting Surgeon, Department of Neurological Surgery, Halifax Medical Center

Life Expectancy After Perimesencephalic Subarachnoid Hemorrhage
Paut Greebe, RN Gabriël J.E. Rinkel, MD
Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Centre, Utrecht, The Netherlands.
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In the UK, you are legally required to notify the Driver and Vehicle Licensing Agency (DVLA) of any medical condition that may affect your driving. This includes subarachnoid haemorrhage, whatever the cause. You should not drive until you receive DVLA approval and your doctor has confirmed that you are fit to continue driving. This could be anything from a few weeks to a year or more. The procedure is explained in the following leaflet from the DVLA:

Customer service guide for drivers with medical conditions

You should also tell your insurance company about your condition or future claims may be invalid. Driving against medical advice may also invalidate your insurance.

If you are in any doubt as to whether you should drive or not, you should contact the DVLA (see the links below) or ask your doctor.

This information applies to the UK only. The procedure in countries other than the UK may be different.

Useful links:

How to tell DVLA about a medical condition

What happens after you have told DVLA about your medical condition
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From Wikipedia, the free encyclopedia
The circle of Willis (also called the cerebral arterial circle or arterial circle of Willis) is a circle of arteries that supply the brain. It is named after Thomas Willis (1621-1673), an English physician.[1]

Schematic representation of the circle of Willis, arteries of the brain and brain stem.

Origin of arteries

The left and right internal carotid arteries arise from the right and left common carotid arteries.

The anterior cerebral arteries and posterior communicating arteries arise from the internal carotid arteries’ trifurcations.

The right and left posterior cerebral arteries arise from the basilar artery, which is formed by the left and right vertebral arteries. The vertebral arteries arise from the subclavian arteries.

The anterior communicating artery connects the two anterior cerebral arteries and could be said to arise from either the left or right side.
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Richard Bowler 1987 - 2002

In July 2002, 15 year old Richard collapsed whilst training with his local football club. He was rushed to the Intensive Care Unit of QA Hospital in Portsmouth where he was found to have suffered a massive brain haemorrhage. Sadly, he never regained consciousness and died the following day. Following news of his death, hundreds of his friends at Brookfield School in Sarisbury Green, Southampton, left messages on a ‘memory board’ in the school grounds.

One such message ended with the words ‘Smile 4 Rich’. Family and friends were devastated by the tragedy and vowed that some good should come from Rich’s death. In the following 18 months over £29,000 was raised for local projects and charities, including donations of over £8,000 each to the Wessex Neurological Centre Trust and the Portsmouth Hospital’s Rocky Appeal.

In April 2004 it was agreed that Smile4Rich would become the ‘public face’ of fundraising for the
WNCT and the trustees approved the launch of the Ambulance Appeal.

www.smile4rich.co.uk - we have added this link to our site - hope that you will take a look.
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Minimally invasive treatment of brain aneurysms. A video broadcast from Hartford Hospital, Conneticut, USA.

Watch this amazing aneurysm coiling procedure. The video lasts approximately one hour and you will need RealPlayer to view it. It is very informative and well worth the view. Click on the link below and select "View Webcast".

View Aneurysm Coiling Video

If you have trouble viewing the webcast, full instuctions on how to view are available by selecting "Preparing Your Computer For Viewing Real Video" and "Webcast Help"
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Intracranial Bleeds

Simply speaking, this is any bleed that occurs within the head.

A sub-arachnoid haemorrhage is just one type of intracranial bleed which occurs over the surface of the brain, due to a weakened artery. It causes cerebro-spinal fluid to mix with the blood- hence a lumbar puncture (drawing off some spinal fluid)can often be used to detect a bleed. Although CT and MRI scanning will more likely have been carried out first.

There are around 8500 cases in the UK every year, predominantly in the 40-65 year age range, with 3 cases being women for every 2 of men. It is a potentially serious life threatening condition, where statistically around 10-15% die before getting to hospital and 50% within one month of the occurence.
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