What are some good questions to ask the Neuro surgeon

Hi everyone, I was thinking...my 1st visit with the doctor will be this coming Thursday. What are a list of question's that I should ask? This is all I know at this point.

Basilar aneurysm


have symptoms of off balance now, had severe vertigo for 1 1/2 weeks...

HI Sheree...I too have a 9mm aneurysm on my basilar tip ... it was coiled...and 2mm behind my left eye...that being said...I went to a Neurologist first and he asked alot of questions, which basically told alot of my history (I too had a few years of bad vertigo and could no longer drive) no longer have the constant vertigo...I fell all the time...the year before my annie found...I fell constantly...hmm? can there be a connection...also, I had terrible sweats and told it was menopause...nope ... neuro found I had high blood pressure, well actually ER found it...that being said...I took my husband to my appt...please do yourself a favor and take someone to the appointment ... always good for another set of ears... if you look on the Mayo Clinic site ... type in Brain aneurysm...they go through a wonderful few pages of information...one is preparing for your Doctors appt and what questions to ask...

Biggest Question??? Where do u go from here?

Keep us posted on your appt...Gotcha in my Thoughts Colleen

Sheree, I am amazed at the size (small) with your level of symptoms;

Basilar begins at the joining of the left and right verebral arteries and ends at its (basilar) bifurcation to the left and right posterior cerebral arteries....thus, suggested questions....

Where is the aneurysm located (segment name?)

Is it considered the "basilar tip" ?

If the basilar tip is at the bifurcation area, how is it determined if affecting the flow to the right or left PCA or both?

Which access route will be used for treatment; i.e. thru the left or right vertebral? or

through the ICAs and PCAs?

Which cranial nerves are near the area of your aneurysm?

Which cranial nerves are near the selected access route to the basilar?

What is his/Team's percentage rate of vertebral artery dissection (VAD) or dissection of any other arteries?

What is his/Team's percentage of stents implanted off-label?

Sheree, expect a lot more questions from others... and, please know, remember, our questions are generated by personal experiences and not professional expertise...

Many prayers for your MD recommendations and your decision process... and, that your daughter, other relative/friend is your advocate as you go thru your next appointments.


I copied and pasted that site I told you about in my reply from Mayo Clinic

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Preparing for your appointment

By Mayo Clinic staff

Brain aneurysms are most often detected after they've ruptured and become medical emergencies. However, a brain aneurysm may be detected when you've undergone head-imaging tests for another condition.

If such test results indicate you have a brain aneurysm, you'll need to discuss the results with a specialist in brain and nervous system disorders (neurologist or neurosurgeon).

To make the best use of your time with your doctor, you may want to prepare a list of questions, such as:

  • What do you know about the size and location of the aneurysm?
  • Do the imaging test results provide evidence of how likely it is to rupture?
  • What treatment do you recommend at this time?
  • If we wait, how often will I need to have follow-up tests?
  • What steps can I take to lower the risk of an aneurysm rupturing?

Your neurologist or neurosurgeon may ask you the following questions to help determine the best course of action:

  • Do you smoke?
  • How much do you drink?
  • Do you use recreational drugs?
  • Are you being treated for high blood pressure, high cholesterol or other conditions that increase the risk of cardiovascular disease?
  • Do you take your medications as prescribed by your doctor?
  • Is there a history of brain aneurysms in your family?

Thank you so much for such great questions and input everyone has given me...I don't know why I have these symptoms either, they said in the hospital they were not related to the aneurysm...I guess I will know more when I see the doctor. I am not looking forward to the wait and watch advice and future procedures but I am very thankful I am one of the lucky ones that have the opportunity to be able to prepare rather than find out after a burst.