Aneurysms are acquired lesions related to hemodynamic stress on the arterial walls at bifurcation points and bends. Saccular or berry aneurysms are specific to the intracranial arteries because their walls lack an external elastic lamina and contain a very thin adventitia—factors that may predispose to the formation of aneurysms.
An additional feature is that they lie unsupported in the subarachnoidspace.In 600 000 Jewish residents in the north of Israel during 1 year, 15 strokes in patients younger than 45 years were identified prospectively. During 15 years (1974 to 1988), 171 females aged 17 to 45 years were referred to a rehabilitation institution after a first stroke.
Treatement is • Remove large collections of blood or relieve pressure on the brain if the hemorrhage is due to an injury • Repair the aneurysm if the hemorrhage is due to an aneurysm rupture If the person is critically ill, surgery may have to wait until the person is more stable. Ongoing Research is being done at Subarachnoid haemorrhage centres.