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How to manage an internal carotid artery aneurysm?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I met with an accident and got a hit in the occipital region a month ago. Though there is no pain or headache, I had a check MRI scan last month. Incidental finding of ICA aneurysm. To confirm, had another MRI scan from a different hospital, and that too revealed the same as ophthalmic ICA aneurysm. I would like to know the treatment options.

  1. Can it be cured with regular medication?
  2. Or is surgery a must for this condition? If yes, kindly explain the surgery.

There is no pain, headache, giddiness, or any associated symptoms. I had a pancreatic stone removal many years ago and am diabetic. I am on regular medication Gluformin G2 (morning one and night one) and 50 mcg Levothyroxine (morning one).

Please guide.

Answered by Dr. Gerry Mike Palisoc

Education:

Doctor of Medicine

Professional Bio:

Dr. Gerry Mike Palisoc is a Neurosurgeon with 15 years of clinical experience. He handles aneurysms, arteriovenous malformation, spine pathologies, pediatric hydrocephalus, and other neurological diseases.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your concern about the ICA (internal carotid artery) aneurysm. It is a good thing that you identified it early. The size is small. An aneurysm at this location is hard to operate on because of the depth, and the rupture rate (which we are concerned about) is almost nil.

If your son is hypertensive, nondiabetic, and does not have a family with aneurysm rupture, then it is wiser to observe this aneurysm for growth. Repeat CT angiogram in six months is helpful. These things should answer your question.

I hope this information is helpful.

Please let me know if you have any further questions, and I would be happy to assist you.

Thank you.

Medically reviewed by Dr. Nithila. A
Published At August 24, 2019
Reviewed At November 17, 2025

Education:

Doctor of Medicine

Professional Bio:

Dr. Gerry Mike Palisoc is a Neurosurgeon with 15 years of clinical experience. He handles aneurysms, arteriovenous malformation, spine pathologies, pediatric hydrocephalus, and other neurological diseases.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Doctor of Medicine

Professional Bio:

Dr. Gerry Mike Palisoc is a Neurosurgeon with 15 years of clinical experience. He handles aneurysms, arteriovenous malformation, spine pathologies, pediatric hydrocephalus, and other neurological diseases.

This doctor is not available for online consultations on the platform anymore.

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