Are Aneurysms Hereditary? Risks and Symptoms - Neurosurgery

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Will aneurysms be inherited?


Dear Dr.
Hong,
I apologize for taking up your valuable time, but I have a question I would like to ask you.
My mother suffered a brain hemorrhage two years ago due to a ruptured aneurysm.
Fortunately, she survived and has not experienced any impact on her daily life, which is very lucky.
I would like to ask you, is there a hereditary risk associated with this type of aneurysm? What is the approximate likelihood?
Recently, I have been experiencing numbness and pain in the left posterior part of my head.
The pain can extend from the back of my head to the front or the top, and it can last for one to two days.
It does not improve with sleep.
When the pain is severe, I feel nauseous, but I do not actually vomit.
Is this type of headache related to superficial pain, or should I seek further evaluation?
I appreciate your time and look forward to your response.
Thank you!
Best regards,
Raylene

raylene, 30~39 year old female. Ask Date: 2003/05/26

Dr. Hong Xuyi reply Neurosurgery


Hello: In response to your question, if you are experiencing abnormal headaches, it is essential to consult a neurologist for a differential diagnosis.
As for whether aneurysms are related to genetics, aneurysms caused by specific genetic disorders (such as polycystic kidney disease) can indeed be hereditary, but common aneurysms are generally not associated with genetic conditions.

Reply Date: 2003/05/26

More Info


Hello Raylene,
Thank you for reaching out with your concerns regarding aneurysms and their hereditary nature, especially in light of your mother's experience with a ruptured aneurysm. It's understandable to be worried about the potential genetic implications, especially when you are experiencing symptoms like headaches and discomfort.

To address your first question, yes, certain types of brain aneurysms can have a hereditary component. Studies suggest that individuals with a family history of aneurysms are at a higher risk of developing them compared to those without such a history. Specifically, if a first-degree relative (like a parent or sibling) has had an aneurysm, your risk may be increased. However, the exact percentage of risk can vary widely based on individual and familial factors, including the presence of other risk factors such as hypertension, smoking, and certain connective tissue disorders.

In terms of your symptoms, the headaches you describe—especially if they are severe, persistent, and associated with nausea—are concerning. While headaches can often be benign, the characteristics you mentioned (pain radiating from the back of the head to the front, lasting for days, and accompanied by nausea) warrant further investigation. These could potentially indicate a more serious condition, such as increased intracranial pressure or even the possibility of another aneurysm or other vascular issues.

Given your family history and your current symptoms, it would be prudent to seek a thorough evaluation from a healthcare professional. This may include imaging studies such as a CT scan or MRI of the brain to assess for any abnormalities, including the presence of aneurysms or other vascular malformations. Additionally, a consultation with a neurologist or a neurosurgeon could provide more insight into your symptoms and the appropriate steps to take.

It's also important to monitor any changes in your symptoms. If you experience sudden, severe headaches (often described as a "thunderclap" headache), changes in vision, weakness, or any neurological deficits, you should seek emergency medical attention immediately.

In summary, while there is a hereditary aspect to aneurysms, the risk varies, and your current symptoms should not be ignored. A proactive approach involving medical evaluation and possibly imaging studies is advisable to ensure your health and peace of mind. Please take care, and don't hesitate to reach out to your healthcare provider for further guidance.

Best wishes for your health,
Doctor Q&A Teams

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