Ruptured Aneurysm w/ Coiling & in Recovery

Hello all! Here is our story… I am the secondary caregiver to my mother (I live 2 hours away and come to visit and help almost weekly) my father (68) is the primary caregiver and does everything. My mother before all of this was loud, sassy, talkative, and enjoyed going to any and all sporting events, traveling to see family members, taking vacations to the beach. She is a retired grade school teacher’s aide but still substituted weekly. She was on high BP medication for probably 15+ years, but it was managed and since this incident we discovered her sister has an unruptured aneurysm.

My mother (67) had an aneurysm rupture on 12/6. We had no idea she had an aneurysm and never experienced any symptoms till the time of rupture. She was getting ready to leave the house and experienced extreme nausea, vomiting, dizziness, and extreme pain in the lower back of her head. Luckily, my father was home and was with her when she suffered her SAH and was able to call 911 quickly. We had no idea what was happening. She was unconscious and was transported to the ER by our local paramedics.
While in the ER they immediately put her on a ventilator and determined the need for a drainage tube in her skull. She was still unconscious, stable but critical. We still had no idea what was happening or had happened; they were pretty positive about a ruptured aneurysm based on what we were able to explain to the doctors. Later that evening she was able to be transferred to the Neuro ICU.
The next day we spoke to so many doctors, nurses, specialists and surgeons it was all very overwhelming… We were informed that she was assessed of being at a 4 to 5 on the Hunt and Hess Scale when she was admitted. They were prepping to go in for an angiogram with the possibility of doing a coiling if found to be the best solution. The Neurosurgeon located the aneurysm and determined there was only 1 and that coiling was the best option. My mother spent about 3 weeks in the Neuro ICU, 13 days on a ventilator. It took her about 10 days to open her eyes for the first time.

Her only form of communication since opening her eyes were head nods or squeezing our fingers with yes/no questions. She did not know where she was, what year/month it was, who her family was (husband of almost 40 years and two children of 33 and 26 of age), or anything that was happening. She slept probably 22 hours a day during her entire time in the ICU. After her stay she was transferred to a different floor in the hospital for another several weeks and continued to sleep for around 20+ hours a day and wasn’t interactive with anyone. She unfortunately removed her feeding tube herself; she was unable to feed herself and we had to spoon feed her a honey thick diet during this time.

On 12/28 she was transferred to a transitional hospital that focuses on continued care and start therapy. She spoke very minimally, her memory was still very scrambled; had no idea where she was most of the time, the year, who was president, and still confused on who some people were. During her stay at this hospital we were introduced to Occupational, Speech and Physical therapy sessions. By the end of her stay here, she was released to come home on 1/19, she was able to stand up, (with assistance) walk with a walker (with assistance) and feed herself with limited assistance. Her speech and memory were also making small, daily improvements.

Since being home we still have all 3 therapy sessions multiple times a week and we have seen improvements in her overall strength, memory, and speech. Considering at the 24 hour mark of her being admitted into the hospital, we were told that she might never wake up again or would have to be in an assisted living type facility the rest of her life. So now, being 5 months since her rupture and she’s able to walk (with a cane), do limited activities in the kitchen and around the house, feed herself like normal, and having around 95% of her memory back, talk to her family and friends on the phone… I’d say we’re doing pretty well!

Overall, she’s not the same person she was. She still sleeps a lot during the day, has some difficulties sleeping at night. She’s not nearly as talkative and loud, her sense of humor peaks out quite frequently, but she’s not as sassy. Her hair has been falling out extremely rapidly; it’s still growing, but she’s shedding excessively. She doesn’t have an appetite like she once did, her portions are much smaller and doesn’t care as to what she eats when presented options. She’s lost probably 60lbs. We try and get her out of the house to go to lunches, grocery shopping, run errands, go to shopping. But sometimes she’s just completely uninterested in doing things, but she says she wants to get better so she can travel again, go to sporting events, drive, etc.

Her eye sight has drastically decreased, at first she was complaining of double vision (that seems to have gone away) but we have “blind spots”. We are unable to get into a Neuro Ophthalmology office in our area until January 2025, but have been placed on a waiting list for cancellations. On 5/2 she has a loop recorder implanted in her chest; while in the ICU they detected afib in her heart. My mother has no known heart issues, so this has also been stressful worrying about her heart health on top of everything else.

For all of those going through these as caregivers, it’s the hardest thing I’ve had to do, it’s stressful, frustrating, exhausting, and mostly confusing. Just be patient and read, brain injuries are complicated and take time. My father and I have been doing everything ourselves. So everything is a learning experience. We just don’t know what to expect next, what is normal or not, what we should or shouldn’t be doing!

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@LindseyM
I’m sorry to hear about your mother. It is very difficult to be the caregiver. You and your father seems to do an awesome job, she is lucky to have you in her life.
I don’t have any insight on what you can do differently, but I know that our moderators for example @Moltroub can help.
I had a ruptured aneurysm myself,Fisher 4, Hunt and Hess grade 2, but I came out of it in better shape than your mother. I think that you are expecting recovery at a faster pace than it is in reality. She has already made enormous improvements since her rupture, but it takes time, A LONG TIME to recover. Don’t rush her, the rupture was only a few months ago. She might be overwhelmed with sharp light, when there is too much noise around her, too much bright light and visual stimuli. I think she needs her sleep, but how much during the day is difficult to tell. Sometimes I still need to take an hour long nap, especially after having done something exhausting, and my rupture was 3 1/2 years ago.Maybe you can get some advice from her doctor about what to do with her sleep schedule.
The first time we went to a restaurant, it was difficult because of all the noise and guests. It has become better for every year.
It’s reassuring to hear that your mother wants to travel and doing things again. Take small steps forward. She has dropped a lot of weight, and her brain needs energy to recover, can you give her some protein shakes or bars? Something with extra calories and protein on a daily basis.
Also, make sure that you and your father have some time for yourself. I’m glad that you found us and if I recall right, there is a lot information on being a caregiver.

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@LindseyM
I found this post on our website. I don’t know if this is something for you, but I copied it and here it is.

Anyone whose life has been touched by a rare disease is welcome in a Ben’s Friends community . Most of our members are patients, but we have spouses and parents, besties and caregivers here as well.

Caregivers sometimes need help too. Being the one responsible has its own set of challenges. Often those challenges aren’t unique to this community. Because of our diverse communities, we can support and help each other with our experience and wisdom. Now Ben’s has a place for that: caregiversupportcommunity.org . A private world of anonymous wisdom, all in one place.

Are you a caregiver? Why not join Ben’s Friends’ caregiversupportcommunity.org ? Share your experience and what you’ve learned with other caregivers from all over.

Like all Ben’s Friends communities, caregiversupportcommunity.org is anonymous, safe and supportive.

And we work hard to keep it that way.

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Thank you for your input!! We don’t know anyone that has experienced a ruptured aneurysm, that has survived. And we only have one contact that has multiple (16) unruptured. And her experiences have been completely different than ours. Luckily, her therapist have been extremely supportive and helpful, she’s measuring ahead of schedule in her progress. We just want to make sure we’re doing all we can are supposed to be doing at home without over doing it.
Luckily she isn’t experiencing any headaches or light or sound sensitivity very often. She stated that sometimes really bright light when she’s in a dark room messes with her eye sight, but it’s not bad. I agree with the protein intake, I keep suggesting she needs to eat “xyz” more but she doesn’t want that lol. My dad isn’t the best cook either, so I’m sure that’s not helping the problem. Luckily for her, every time I come home she gets my cooking and she seems to eat more.

I read your story, did you experience any hair loss/shedding after your procedures? Her hair is growing, she’s gotten several hair cuts since and the spot where they shaved her head for the drain has grown back. It’s all just very thin sadly, which she’s very sad about.

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@LindseyM
I’m glad that you got some help with my post. You will find a lot of survivors In this forum. I didn’t loose my hair,but I have a dent in my scull after the drain that was inserted after I ruptured. My PCP told me that as long as I don’t poke anything sharp in the dent, I don’t have to worry. Every time I get a haircut, I remind my stylist about it and that she has to be very careful.
I searched for hair loss in the magnifying glass, and this was from a post by @Moltroub
https://www.researchgate.net/publication/6689574_Temporary_alopecia_after_subarachnoid_haemorrhage

Regarding the extra calories and protein, does she like ice cream? Some canned peaches with ice cream or whipped cream topped with chocolate? Adding peanut butter on a sandwich? This could be easy for your father to make. I also know from my previous work that it is good to use real butter and some cream when we are cooking for the elderly. My mother is in an assisted living facility ( across the pond) and the residents gets calorie rich food.
I am sure that more people will answer your post, some lives in different parts of the world, some here in the USA.
Keep up your good work with your mother. Get back to us as often as you need. :ice_cream:

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Welcome again Lindsey! Yes being a caregiver is tough, I was for both my parents after I ruptured. Caregivers need a time out from their duties. I’d suggest your dad take some time to enjoy his hobbies, hopefully he has at least one. It’s important for caregivers to take a breather please stress this to everyone who helps out with your Mom.

I did chuckle about the President question, one morning early on, I couldn’t remember who the President was and replied with “probably someone some people don’t like”. Though I may have said “probably some nitwit”. I came out of NSICU with that as a preferred word and hadn’t used it before I ruptured. I eventually recanted that statement after going through several names starting with Reagan and knowing they weren’t correct, got to the right one.:rofl:

@oct20 is dead on with increased protein. We really need the protein when we rupture. I still need it now and if I don’t get enough my brain can get wonky. I use a protein drink and sometimes bars. I’ve been through several different types of both and have settled on FairLife because I can see I have shaken it up and it’s easier for me to shake it up. I like their chocolate. I crave chocolate since my rupture. Don’t forget she needs to also stay hydrated. I think water is the best choice, but I’ve learned any liquid can do the job, except alcohol probably.

I don’t know my Hunt and Hess score, can’t find it in my medical records but I was at a Fischer 3 and I did have vasospasms for 21 days. Managed not to have a stroke from them thanks to the diligence of all the RNs that worked so hard to keep my BP way up there. I remember Keena had to keep adjusting the meds going into me through one of the IVs. I guess because of the vasospasms, BH was told every day for 21 days, they didn’t know if I’d make it to the next. When I ruptured I was flown to a hospital about an hour’s drive from our home. The doctors couldn’t believe I woke up so quickly from my coiling and knew who BH was and could remember a promise we made each other to dance in the streets when we turn 80.

Personalities often change, some of us only a little, for others quite a lot. I used to hardly speak unless it was something important, for several years, I couldn’t stop talking it seems. BH heard me tell myself to just please stop talking one day. The stent Dr. Quintero-Wolfe put in back in 2020 has helped with that a lot.

For me, bright lights and loud or high pitched sounds could make my brain stop functioning. They also can increase my other issues. I’ve worked hard on both but they can still get me. Too much activity can also set me back as can too many people.

Sleep was a necessity when I got home and for a long time afterwards. I would sleep a lot, mostly during the day but not so much at night. We attributed that to my working On Call, my career choice wasn’t a good one for sleeping regular hours. Also, I didn’t get enough sleep in NSICU. Brain healing requires sleep as much as protein and proper hydration. BH got worried about it, I think after my third procedure and told Dr. Q-W. I was told to practice staying awake and take shorter naps. Oddly enough, when I eat, I want to sleep to this day. That never happened before I ruptured.

I lost all peripheral vision and it took years to get it back. My hearing had dramatically improved which is why sounds hurt I imagine. I also can no longer follow multiple conversations or understand innuendos which is a big difference as I come from a decently sized boisterous family. Until my stent placement, we never knew what would come out of my mouth which was humorous for others, but confusing for me. BH would kindly tell me what I said may not have been nice despite it being honest. BH would give me a different way to say it but I was very insistent I was correct because I was honest. Honesty as always been important so that hasn’t changed. My parents were my day time caretakers and had me doing too much so I got grounded from them for three weeks by Dr. Q-W​:crazy_face::joy:

When I got home from hospital, none of my “work in the yard” hats fit and I was quite upset about it. So upset I told Dr. Q-W she did something to my head since they didn’t fit. She didn’t know why I had to adjust my ball caps but I insisted it was something she did because they obviously fit before I met her and she did something that made my skull grow. I had minimal hydrocephalus that corrected itself without a shunt whilst still in hospital I think.

Your mom (and dad) may benefit from a stroll around the neighborhood. Exercise is very important for brain healing. There’s lots of information on the internet about the advantages for it especially as we age.

I did shed a lot after each angiogram for many months. Having very fine hair it seemed to me that I was going to go bald. But it’s all settled now.

Don’t forget whatever her in home therapists teach her, she has to practice daily, even if they don’t come that day.

With what you share as your Mom’s improvements, y’all are probably doing everything right. Be patient with yourselves. You can always have your Dad talk to the in home folks to see what everyone can do differently if you’re still concerned. You might want to consider making meals that he can easily reheat if he’s not that great of a cook. If he likes to grill, that may be another option for him. I’m no longer supposed to cook unsupervised but I can grill. I like to grill salmon and just about everything else weather permitting. I get some really good recipes from here -https://amazingribs.com/ and America’s Test Kitchen amongst others. We also have a good amount of cookbooks from different countries and we can chose one from them. We do a lot of Mediterranean recipes which is helpful for our hearts. Hang in there and remember we are always here to help!

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Hi Lindsey M,
I ruptured eight years ago with a SAH and my report gave me a Glasgow Coma Score of 6. I too spent a long time in hospital, and sleeping was one of my things. Eight years down the line, with loving care from my wife, I am able to live life, go on holidays, and enjoy cooking again. I know it may take a long time to recover, but as @maultroub says small steps. I still like sleeping; the best part of the day is lying down in bed in the dark (settles my vertigo (my vestibular system is compromised) but I just want to say things can get better over time.

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Lindsey,

Wow!!

I wasn’t able to read every response so far and you’ll probably get a lot more.

I really can’t imagine what you and your Dad are going through and what you’ve been through.

I’ve had a rupture that was fixed with coiling, first. It took over a week before I got help…real help…when the rupture happened. Your Dad helped her more than you’ll ever know by getting your Mom help so quickly.

I had double vision as well. Pressure on the optic nerve does that.

Being a caregiver is, in my opinion, one of the hardest thing anyone can do. I know I’m so lucky my spouse is my caregiver. Patience is the thing I need. She gives me that.

Your Mom is a trooper!! So are you and your Dad!!

Please know recovery is slow. Very slow. I was younger than your Mom when I had my rupture. I pushed myself too hard to get back to where/what I used to be…before the rupture. That set me back.

I’ll never forget my 1st time in a grocery store after the ruture/coiling. In less than 5 minutes I was pretty much incapacitated. The lights, the colors, the noise, the movement…everything was too much. My brain had been overloaded. My brain still gets overwhelmed quickly.

I know there’s going to be a lot of good advice for you from other people here. Just know love and patience will go a long way.

I saw that Moltroub had replied…and everytime I’ve gotten advice and/or encouragement from Moltroub…it’s been spot on. The other moderators are also excellent. There is a wealth of knowledge/caring here.

Don’t forget to take care of you.

You and your Dad will be in my thoughts.

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