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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Mayo Clinic Medical Edge: Brain aneurysms don't always require treatment

By Robert D. Brown Jr., M.D.




About about 6 million people in the United States have an unruptured brain aneurysm. Know now what to do --- and, more importantly, what not to


JewishWorldReview.com | DEAR MAYO CLINIC: What causes a brain aneurysm? Are there any warning signs? How is a brain aneurysm treated?

ANSWER: A brain aneurysm is small, round outpouching of an artery in the brain that develops due to thinning of the blood vessel wall. A brain aneurysm that bursts, or ruptures, can lead to serious medical problems. However, many aneurysms do not rupture, and some unruptured aneurysms do not require treatment.

Brain aneurysms are common. About 2 percent of the population has an unruptured brain aneurysm. That equals about 6 million people in the United States. But only about 25,000 brain aneurysms rupture each year.

Cigarette smoking and high blood pressure can increase a person's risk for having a brain aneurysm. Genetics also seems to play a role. People who have two or more members of their family with a history of a brain aneurysm have an increased risk of developing a brain aneurysm.


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Most unruptured brain aneurysms don't cause symptoms. Rarely, an aneurysm will push on brain tissue or a nerve, causing pain, double vision, loss of vision, facial weakness or numbness. Typically, though, an unruptured brain aneurysm is discovered on a computerized tomography (CT) or a magnetic resonance imaging (MRI) brain scan that is done for some unrelated reason. A specialized brain CT called a CT angiogram (CTA) or a specialized brain MRI called an MR angiogram (MRA) can be used to look at the aneurysm in more detail.

When an unruptured aneurysm is found, the risk of the aneurysm rupturing without treatment should be weighed against the risks of treatment.

A brain aneurysm that ruptures leads to a serious type of stroke called a subarachnoid hemorrhage, which involves bleeding over the surface of the brain and into deeper parts of the brain. These strokes can quickly become life threatening if they're not treated promptly.

Several factors should be considered when assessing the possibility that a brain aneurysm may rupture and deciding about treatment. The risk of rupture is higher for larger aneurysms. Aneurysms in the front of the brain are at lower risk for rupture than those in the back. An aneurysm's appearance has an impact on the decision, too. Family medical history also needs to be considered, as does a person's age and overall health.

Small, unruptured aneurysms in the front of the brain are sometimes safely left alone, particularly in older patients and those who have no family history of aneurysm rupture. If the decision is made to manage the aneurysm without surgery or other intervention, periodic follow-up brain CTA or MRA is typically recommended to make sure that the aneurysm is not getting larger.

If the decision is made to treat an unruptured aneurysm, options usually include surgical clipping or endovascular coiling. During surgical clipping, a neurosurgeon goes into the brain and places a tiny metallic clip across the base of the aneurysm to stop blood from flowing into it. With endovascular coiling, a surgeon inserts a hollow plastic tube, or catheter, into an artery, usually in the groin, and threads it to the aneurysm. A tiny platinum wire is passed through the catheter and placed into the aneurysm. The wire coils up inside the aneurysm, plugs the aneurysm sac and causes blood to clot, sealing off the aneurysm from the artery.

Whether or not an unruptured brain aneurysm is treated, controlling blood pressure and quitting smoking are important ways to lower risk of aneurysm growth and rupture.

When determining how to deal with an unruptured brain aneurysm, find a health care team that includes a neurologist, neuroradiologist and neurosurgeon who have expertise in aneurysms and their treatment. With the help of these experts, patients can carefully consider their options and decide what is best for them. -- Robert D. Brown Jr., M.D., Neurology, Mayo Clinic, Rochester, Minn.

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