Written by:  Kyu-Sun Choi Department of Neurosurgery, Hanyang University Hospital .  NAVER Article in Korean: HERE.

Translation using Google Translate: Fan 13

“I thought life’s curvature was not great, but I was shocked when I was diagnosed with a cerebral aneurysm. The fear of the disease lies in the likelihood that it will explode like a time bomb. Was it because he was so healthy? Sudden confession, everyone gathered in the place was not surprised.

Actor Jung Il-woo made his debut with MBC Sitcom’s Unstoppable High Kick, which aired in 2006. He made his appearances as the second son of Jung Joon-ha and Park Hae-mi in the play, and has since established himself as an actress by appearing in The Favorite Baby Ramen Shop, The Moon of the Sun, and Cinderella and Four Knights. . In 2016, he fulfilled his duty as a social worker and recently appeared in the SBS drama “Hatch”.

At a press conference held before the drama, he gave a little special reason for choosing the work. “I was diagnosed with a cerebral aneurysm, and there was a big curve in my life.

As he was about to join the army in 2016, he received news such as Cheongcheon Wall Force. He was diagnosed with a cerebral aneurysm at a hospital he had suffered from headaches. Cerebral aneurysms, like time bombs, are a dangerous disease that may burst. If swelling cerebrovascular rupture, there is a high risk of death. One study found that 30% of patients with cerebral aneurysms, like Jung Il-woo, have headaches and diplopia.

Although cerebral aneurysm is a dangerous disease that is subject to military exemption, he enlisted as a social worker instead of asking for a reexamination to fulfill his duty as a defense. After diagnosis, he managed the disease through continuous treatment and examination. After completing four weeks of basic military training, he completed his alternative service in Seocho-gu, Seoul. He starred in <Hatch> again with a healthy figure. Life has changed since the diagnosis of cerebral aneurysm, he says.

“Thank you every day today. I had the idea that I should enjoy without regrets. I was always modest and careful, and I enjoyed my life a little bit more and made it easier for people to show me and think that it would be okay to live. ”

Jung Il-woo has a different life value through the diagnosis, treatment and management of diseases. I am looking forward to his tomorrow, which will show me a better performance with a more mature figure.

Cerebral aneurysm’s high risk of death can be prevented by early detection and treatment.

Unruptured cerebral aneurysms are lesions in which the cerebrovascular swells abnormally. It occurs in about 2% of the adult population, and is common in genetic diseases such as family history, old age, women, smoking status, and polycystic kidney disease. The risk of rupture of unruptured cerebral aneurysm is about 10% per year, but cerebral aneurysm rupture is a direct cause of 75-80% of spontaneous subarachnoid hemorrhages. The size and location of the aneurysm (recurrent circulatory system and posterior arterial artery) are major contributing factors to the rupture, with an increased risk of rupture based on a size of 5 to 7 mm, and very high at more than 10 mm.

Symptoms and diagnosis of cerebral aneurysms

Unruptured cerebral aneurysms can directly squeeze the nerve tissue and cause a variety of neurological symptoms, but in most cases they are found by chance during an asymptomatic health examination or other disease test. In 10% to 60% of patients, sudden swelling or traces of bleeding occur before the aneurysm ruptures. A few days to several weeks before the rupture, you have a warning headache with a severe headache. In this case, the patient must be visited immediately for examination.

When a cerebral aneurysm ruptures, strong pressure of arterial blood is pumped out of the subarachnoid space, and the brain pressure rises rapidly. Most patients experience severe headaches that they have not experienced in their lifetime, and they are accompanied by nausea, vomiting, meningitis symptoms, and cervical stiffness. In addition, depending on the position of the nerve, optic nerve or optic nerve cross-linking causes eye movement paralysis, blindness or visual disturbances. If clinical symptoms are suspected, computed tomography (CT) and angiography are performed, and catheter cerebrovascular angiography is performed.

Treatment and prognosis of cerebral aneurysm

Unruptured cerebral aneurysms can cause severe cerebral hemorrhage, such as subarachnoid hemorrhage. Because of the risk of rupture and the benefits of treatment, preventive treatment should be considered. If undetected ruptured cerebral aneurysms are found without treatment, control factors such as smoking and high blood pressure should be controlled and CTA or MRA should be administered periodically. If the cerebral aneurysm increases in size or changes in shape during this process, there is a risk of rupture and should be treated.

Representative treatments include cervical ligation, in which the neck of the aneurysm is clipped with a clip after craniotomy, and endovascular surgery in which the inside of the aneurysm is filled with a specially designed coil. Because the two treatments have different advantages and disadvantages, endovascular surgery is easy for narrow aneurysms, and for circulatory aneurysms, endovascular surgery is preferred because of the high risk of craniotomy. Endovascular surgery, which is a low risk of treatment, is often used in elderly patients or in other health conditions. On the other hand, in the case of an aneurysm with a wide neck, most of the ligation is performed due to difficulty in endovascular surgery. Recently, intravascular surgery using a mesh or balloon has also been attempted.