Glue to the rescue! Saving Lauren's life


Blood was rushing in and it could not get out. That is what was happening inside one little girl's brain, but by the time doctors found out what was wrong, it was almost too late.

"You know, you love your kids so much," says Lauren’s Dad Mark Lackey.

It is painful for Mark Lackey to talk about the time he almost lost his daughter Lauren.

"I kind of felt it, but I couldn't explain it," explains Lauren Lacky who went into a coma.

Her mom says one night while doing homework, she just starting writing down random words and letters.

Two days later, Lauren slipped into a coma. The blood flow out of her brain was mostly blocked, forced through a single channel below the surface of her face.

Doctor Roc Chen, a Cerebrovascular Neurosurgeon at Mischer Neuroscience Institute, says it's like a, "eight lane highway driving through one lane."

On top of that, abnormal connections between vessels created short circuits in her brain. The two problems caused severe swelling that could kill Lauren.

But open brain surgery could lead to a deadly bleed. So, Doctor Chen snaked a catheter from her groin to her head and with glue that's sometimes used to help stop brain aneurysms from rupturing, he carefully sealed off the short circuits.

After the treatment, Lauren's brain pressure started going down right away.

"I felt really good,” says Lauren. “I felt normal."

Back to normal and back with the ones who love her.

"She's our little miracle child," says Mark.

It took two five-hour treatments to seal off the short circuits in Lauren's head.

Meanwhile, Doctor Chen says the blood from her brain still drains through the vessel in her face, but with blood thinners he says she can expect to have a normal quality of life.

MEDICAL BREAKTHROUGHS
RESEARCH SUMMARY

TOPIC: GLUE TO THE RESCUE! SAVING LAUREN'S LIFE
REPORT: MB# 3591

BACKGROUND: A brain aneurysm is a bulge in a blood vessel in the brain. It can leak or rupture, causing bleeding into the brain (hemorrhagic stroke). Usually a ruptured brain aneurysm occurs in the space between the brain and the thin tissues covering the brain. This type of hemorrhagic stroke is called a subarachnoid hemorrhage. When an aneurysm ruptures prompt medical attention is needed. However, most aneurysms do not rupture, cause symptoms, or create health problems. (Source: www.mayoclinic.com)

SYMPTOMS: A severe headache that comes on suddenly is the key symptom of a ruptured aneurysm. It is often described as the "worst headache" ever experienced. Other symptoms of a ruptured aneurysm can include: nausea, vomiting, blurred vision, stiff neck, seizure, confusion, sensitivity to light, drooping eyelids, and loss of consciousness. In some cases, an aneurysm can leak a small amount of blood into the brain, called sentinel bleeding. It can cause the sudden, extremely severe headache too. A severe rupture usually follows leaking. An aneurysm that is not ruptured may not produce any symptoms if it's small, but a large one can press on brain tissues and nerves causing: a dilated pupil, a dropping eyelid, change in vision, numbness or paralysis on one side of the face, and pain above and behind an eye. (Source: www.mayoclinic.com)

NEW TECHNOLOGY: Aneurysms can be detected and treated before they rupture, usually with minimally-invasive endovascular coiling or surgical clipping. Surgery involves placing a small metal clip around the aneurysm to isolate it from normal blood circulation. It will decrease the pressure on the aneurysm and will prevent it from rupturing. Surgery will depend on the size of the aneurysm and the general health of the patient. In the endovascular procedure, the aneurysm is first assessed by inserting a catheter into an artery in the patient's leg into the head. Tiny platinum coils are threaded into the catheter into the aneurysm until all of the space inside it is full. The coils block blood flow and prevent it from rupturing. This method is great for smaller aneurysms. For larger ones that have a high rate of recurrence, the coils cannot fill the vessel. Now, doctors use Onyx to fill them. Onyx is a thick black substance that turns solid when it is exposed to blood. It is an ethylene vinyl alcohol copolymer that was FDA approved in 2007. Onyx is injected into the brain through a catheter. Whenever the aneurysm is filled, the procedure is complete. (Source: www.bafound.org)

Dr. P. Roc Chen used this treatment for arteriovenous malformation (AVM), or abnormal connection of blood vessels. When AVM occurs, a tangle of blood vessels in the brain bypasses normal brain tissue and directly diverts blood from the arteries to the veins. More than 50% of patients with an AVM have an intracranial hemorrhage. Patients can have localized pain in their heads due to increased blood flow around an AVM. Fifteen percent of AVM patients might have trouble with movement, vision, and speech. During treatment, doctors place a catheter inside the blood vessels that supply the AVM and block off the abnormal blood vessels. Then the Onyx, micro coils, and particles are used to stop blood flowing to the AVM. Treatment, of course, will depend on the symptoms the patient is having, the type, size, and location of the AVM. (Source: www.strokeassociation.org)

FOR MORE INFORMATION, PLEASE CONTACT:

P. Roc Chen, MD, FACS, FAANS
Cerebrovascular/Endovascular Neurosurgeon
Mischer Neuroscience Institute
(713) 704-7100

If this story or any other Ivanhoe story has impacted your life or prompted you or someone you know to seek or change treatments, please let us know by contacting Andrew McIntosh at amcintosh@ivanhoe.com.


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