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When Kim Kardashian revealed on her reality show that she was diagnosed with a “small brain aneurysm,” it drew attention not for the drama, but for the health threat it posed. The 45-year-old woman said her doctors linked it to the stress of her divorce with rapper Kanye West. This revelation caused concern and raised an important question: Can stress really trigger brain aneurysms? Experts tell.

A brain aneurysm is a balloon-like bulge that forms at a weak spot in a blood vessel in the brain. Over time, this weakened area can stretch and, if it ruptures, can cause bleeding in the brain, which can be life-threatening.
“In India, although figures vary, about 2 to 5% of adults may have unruptured brain aneurysms. Most people remain unaware until symptoms appear or the condition is detected during a scan for some other reason,” says Dr Dhruv Chaturvedi, director of neurosurgery, PSRI Hospital, Delhi. He says some people are born with fragile blood vessel walls, which can put them at risk for aneurysms later in life. Others may develop slowly due to lifestyle and health factors such as high blood pressure, smoking, heavy alcohol consumption or atherosclerosis. Natural aging also causes the blood vessel walls to weaken.
Does stress play a role?
Stress does not directly cause brain aneurysms, but it can increase the risk. “Both chronic and sudden stress can increase blood pressure and release hormones like adrenaline, which put pressure on already weakened vessels. A sudden increase in anger, fear, or physical exertion can trigger an aneurysm to rupture,” says Dr. Chaturvedi. People who are constantly under stress, work for long hours, sleep less etc. are more vulnerable.
early signs
According to Dr Abhas Kumar, consultant neurologist, RJN Apollo Spectra Hospital, Gwalior, “Some people experience sentinel headache, which is the worst headache of their life. Others may develop double vision, neck pain or weakness in the limbs.” If these symptoms appear suddenly, prompt medical attention is important.
managing stress
Experts suggest managing stress through simple daily habits. Deep breathing, meditation, yoga and regular exercise can help control blood pressure and balance stress hormones. “Even brain exercises like puzzles, chess or Sudoku can support cognitive and vascular health,” says Dr. Abhas. Staying hydrated, limiting caffeine, following a balanced diet, and getting enough sleep all contribute to a healthy brain and heart.
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