Brain aneurysm

Also called Cerebral aneurysm or Intracranial aneurysm

A brain aneurysm is a bulge in a weakened blood vessel wall in the brain. Most are small, cause no symptoms and are found by chance on a scan. Rarely, an aneurysm bursts and bleeds into the brain, causing a sudden, extremely severe headache. This is a medical emergency.

Last updated Nov 9, 2026

What it is

Smoking, high blood pressure and a family history increase the risk, as does polycystic kidney disease.

An unruptured aneurysm may simply be monitored, or treated to prevent it bursting, usually by coiling through a blood vessel or by surgical clipping. Stopping smoking and controlling blood pressure are important.

Common signs

  • Usually no symptoms if it has not burst
  • Rarely, vision problems or pain above the eye from pressure
  • If it bursts: a sudden, extremely severe headache, stiff neck, being sick, sensitivity to light

How it is usually diagnosed

  • MRI or CT angiogram
  • Catheter angiogram in some cases
  • For a burst aneurysm: CT scan, sometimes a lumbar puncture

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Scan reports with the size and location of the aneurysm
  • Neurosurgery letters
  • The schedule for monitoring scans
  • Blood pressure readings

Questions to ask your doctor

  • How large is it, and what is the risk of it bursting?
  • Should it be treated or monitored?
  • Should my family be screened?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A sudden, extremely severe headache, often described as the worst ever: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources