Brain Aneurysm

Brain Aneurysm

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Duke specialists use sophisticated imaging tools to determine whether you will benefit from treatment or observation before a brain aneurysm ruptures. If emergency surgery is needed, our neurosurgeons perform complex procedures that repair damage caused by torn or ruptured brain aneurysms, and work with you to prevent or the reduce the risk of complications that may result, including stroke.

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Surgeons make an incision in the back of the head through which they place a small metal clip or clips along the neck of the aneurysm. Clipping the aneurysm prevents blood from entering the aneurysm sac and reduces the risk for future bleeding.

Cerebral Artery Bypass

Reroutes blood flow around the weakened artery using a blood vessel from another part of your body, usually the leg. The new artery bypasses the damaged blood vessels and restores healthy blood flow to the brain.

Endovascular Embolization or Coiling

Using high resolution images, your surgeon inserts tiny coils in the weakened artery to block or reduce the flow of blood to the aneurysm.  This procedure reduces the risk of rupture or future bleeding into the brain.

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Duke Health offers locations throughout the Triangle. Find one near you.



A catheter is inserted into a large artery and threaded from the groin to the neck, and a contrast agent or dye is injected and travels through the brain’s arteries. X-ray images pinpoint the location and severity of the aneurysm.

MRI or CT Scans

High resolution, 3-D images of the brain and its blood vessels are reviewed to analyze the size, shape and location of the aneurysm, as well as potential bleeding or spasms that may signal an increased risk for stroke.

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Why Choose Duke

Experienced Neurosurgeons
Our neurologists, neurosurgeons and radiation therapists are trained and experienced in the full range of aneurysm prevention, management and treatment. From emergency situations in which weak artery walls create immediate risk to less urgent cases where a comprehensive assessment is required before surgery, we ensure you receive the most appropriate treatment for your condition.

Complex Procedures, Successful Outcomes
We perform surgery on large aneurysms, which is extremely complex and often a life-saving procedure.

Advanced Diagnostic Imaging
We use the most advanced equipment and procedures to diagnose and treat brain aneurysms including high resolution 3-D images of blood vessels in the brain. 

Sophisticated Microsurgical Techniques
Our surgeons use powerful microscopes to perform complex microsurgery safely and precisely.

Best Neurology, Neurosurgery in North Carolina
When it comes to your care, you want the very best. Duke University Hospital's nationally ranked neurology and neurosurgery program was named best in North Carolina by U.S. News & World Report for 2019–2020.