An aneurysm that has not ruptured may not need to be treated. He may order tests that check the size of your aneurysm. But this depends on your health and the aneurysm. As many as 6.5 million people in the United States, or one in 50 people, have unruptured brain aneurysms and don’t know it! If you show symptoms of an unruptured brain aneurysm — such as pain behind the eye, changes in vision or double vision — you will also undergo some tests to identify the offending aneurysm. Here are top 15 signs and symptoms that may point to a brain aneurysm: Vision disturbances. An unruptured brain aneurysm might cause no symptoms at all, especially if it is small. In an unruptured aneurysm, symptoms occur when bulging or balloon-like structure protruding from blood vessel starts putting pressure on nerves and brain structures. Symptoms of an unruptured brain aneurysm may include a localized headache, centered above and behind an eye. If bleeding has occurred, your emergency care team will determine whether the cause is a ruptured aneurysm. You should now know the symptoms and treatments for an unruptured aneurysm. Unruptured brain aneurysm treatment Small aneurysms that haven’t ruptured and aren’t causing symptoms may not need treatment. The medical term for a brain aneurysm is a cerebral aneurysm or an intracranial aneurysm. But, a larger unruptured aneurysm in the brain might press the brain tissues and nerves and cause symptoms like a dilated pupil, double vision, or a change in vision. An unruptured brain aneurysm, also called a cerebral aneurysm is an aneurysm that has not yet ruptured. Your healthcare provider may check it regularly. Symptoms Unruptured brain aneurysm symptoms may … Also common are vision problems, such as double vision, blurred vision, a deficit of peripheral vision and photosensitivity. Identification of the symptoms is only possible when there is a rupture. some may experience a sudden worsening of vision. You may also need treatment if you have a family history of ruptured aneurysms. “An aneurysm can cause headaches,” says Farhan Siddiq, MD, a neurosurgeon with University of Missouri Health Care. Treating a small, unruptured aneurysm could actually cause more problems down the line. Though a rupturing brain aneurysm causes a thunderclap headache that’s the worst imaginable, can an unruptured aneurysm actually cause any kind of headaches, and if so, how does this happen if it has not ruptured? Treatment may be used to prevent a rupture if the aneurysm becomes large or you have symptoms. One of your pupils may become dilated or an eyelid might droop. It is not possible for a general physician to identify the presence of an unruptured brain aneurysm because it does not show any symptoms. A brain aneurysm is a ballooning of a portion of a blood vessel in the brain. 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