Aneurysm Surgery (Brain Aneurysm Clipping) in Noida

By Dr. P. K. Jha — Senior Neurosurgeon • Brain & Vascular Microsurgery

Brain aneurysm is a weak, bulging spot in a brain artery. If it ruptures, it can cause a life-threatening subarachnoid hemorrhage (SAH). Selected unruptured aneurysms are also treated to prevent future bleeding. At Neuro Care India (Noida), Dr P K Jha provides microsurgical clipping and co-manages endovascular options with partner centers based on anatomy, risk and patient preference.

Symptoms & Red Flags

• Sudden, severe “worst” headache (thunderclap) ± vomiting, neck stiffness — medical emergency.
• Loss of consciousness, seizures, double vision, drooping eyelid, one-sided weakness/numbness.
• Unruptured aneurysm may cause local headache, cranial nerve palsy or may be incidental on MRI/CT.

How We Diagnose

• CT Brain to detect bleed (SAH) quickly.
• CT Angiography (CTA) or MR Angiography (MRA) to visualize aneurysm size, neck and branches.
• DSA (Digital Subtraction Angiography) when anatomy is complex or before definitive treatment.

Treatment Options & How We Choose

Choice depends on patient age, clinical grade, aneurysm location/neck width, presence of bleed, and feasibility at our partner centers.

• Microsurgical Clipping — via small craniotomy; aneurysm neck is closed with a titanium clip. Offers durable occlusion, especially for MCA/bifurcation/ wide-neck aneurysms. Performed by Dr Jha.
• Endovascular Coiling / Flow-Diverter Stent — catheter-based treatment performed in hybrid/cath labs; co-managed with endovascular teams when better suited (e.g., posterior circulation, narrow neck, high surgical risk).

What to Expect with Clipping

1. Pre-op optimization: labs, anesthesia fitness, blood pressure control, DVT and vasospasm prevention plan.
2. Microsurgery: neuronavigation, micro-instruments, temporary clips when needed; ICG/Doppler to confirm flow.
3. ICU care: close neuro-monitoring, electrolytes, vasospasm surveillance, pain control.
4. Recovery: ward transfer in 24–48h if stable; sutures off ~7–10 days; return to desk work in 2–4 weeks (individualized).

Risks & Outcomes

With timely care, many patients make good recovery. Risks include re-bleed, vasospasm-related deficits, stroke, infections, seizures or hydrocephalus. Your individualized risk is explained after imaging review.

Costs, Insurance & Hospital Tie-ups

We admit patients according to budget and preference across multiple hospitals in Delhi & Noida. Estimates vary by ICU stay, implants (clip sets, stents/flow diverters), and room choice. Share your reports; we’ll give a transparent estimate and available options.

When Should You Rush to Hospital?

• Thunderclap headache or sudden collapse.
• New focal weakness, seizures, repeated vomiting, profound drowsiness.
• Known aneurysm with new severe headache or neuro-deficit.