Surgery for a Brain Aneurysm: Recovery at Home

An aneurysm may have affected your loved one’s body functions, skills, and emotions. He or she may move on to a skilled nursing facility, a rehabilitation center, or go home and return for therapy as an outpatient. You, too, can help him or her recover.

Speech therapist working with woman. Electronic tablet is on table.

Regaining strength and skills

Depending on the site of an aneurysm, certain abilities may have been affected. This is because each part of the brain controls certain functions. With special help, many people regain strength and some skills. A physical therapist helps strengthen muscles. An occupational therapist teaches daily skills, such as getting dressed and bathing. A speech therapist helps improve swallowing, as well as speech. Recovery of these functions is often not complete, and recovery occurs at unpredictable rates that vary from days to months. The goal of therapy is to maximize the speed and ultimate potential of the recovery.

Changes in emotions

The aneurysm may have affected your loved one’s emotions. He or she may be depressed, worried, or mentally tired. These feelings should go away with time. Some people also have trouble controlling their emotions. They have sudden mood shifts. The shifts may be out of context with what is going on. This is called lability. For instance, your loved one may cry after telling a joke. In many cases, lability lessens over time.

How you can help

You can help your loved one in many ways. Make sure he or she returns for all follow-up visits as requested. Talk with the healthcare provider if any sadness or emotional ability does not improve on a weekly basis. If you don't see any improvement in the first weeks, talk with a neuropsychologist, psychologist, or psychiatrist. And check that your loved one takes all medicines as directed. Be patient with mood swings, pain, or extreme tiredness (fatigue) that your loved one may feel. Also, social work services in the medical center can help coordinate resources to help your loved one and your family with recovery.

When to call the surgeon

Call the surgeon right away if you notice any of the following in your loved one:

  •  Involuntary movements or a seizure

  • A severe headache

  • Any loss of function

  • A high or long-lasting fever

  • Drainage, redness, or pain at the incision site

  • Fainting or falling. Either of these may signal changes in brain function.

  • Pain in leg or swelling

  • Ongoing nausea or vomiting

  • Burning during urination

  • Before stopping any of your medicine

Your loved one may have to take a few medicines to control pain, blood pressure, and other problems. It’s very important that all medicines be taken as directed. Medicines work best if they are taken on time.