What is a brain aneurysm? The vessel rupture that left actor Tom Sizemore in a critical condition
Actor Tom Sizemore is in a critical condition after suffering a brain aneurysm.
His manager described the situation as “wait and see” with the 61-year-old in intensive care.
What is a brain aneurysm, how are they treated and what is the outlook for patients?
What is a brain aneurysm?
An aneurysm is a bulge in a blood vessel caused by a weakness in the blood vessel wall.
As blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.
The Brain Aneurysm Foundation in the US compares it to a weak spot on a bike tyre’s inner tube.
Because the walls of the artery are thin, the aneurysm is at risk of bursting.
What happens when a brain aneurysm bursts?
The first symptom is normally an agonising headache.
It’s been described as a “thunderclap headache”, the NHS says, similar to a sudden hit on the head.
Other possible symptoms include vomiting, pain on looking at light, loss of consciousness and a stiff neck.
When an aneurysm ruptures, blood spills into the space between the skull and the brain.
This is called a haemorrhage or haemorrhagic stroke and is considered a medical emergency.
Pic: AP
What are the symptoms of an unruptured brain aneurysm?
Unruptured brain aneurysms normally do not have any symptoms.
However they occasionally cause symptoms if they’re particularly large or press against tissues or nerves inside the brain.
According to the NHS, symptoms can include visual disturbances, pain above or around your eye, numbness or weakness on one side of your face and difficulties with speech, memory and concentration.
How are brain aneurysms treated?
Not all aneurysms are at risk of rupturing. Where an unruptured aneurysm is considered low-risk, it will usually be monitored rather than treated because the risk of operating often outweighs the benefit.
An aneurysm that is at risk of or has already burst may be treated with coiling or surgical clipping.
Coiling involves filling the aneurysm with a series of platinum coils that are threaded up from the patient’s groin.
The coils prevent more blood flowing into the aneurysm and pressing against the weakened walls.
Surgical clipping involves removing a section of the skull and placing a metal clip over the “neck” of the aneurysm to stop blood from flowing into it.
The same treatments are used for aneurysms that have already burst.
Who is at risk of having a brain aneurysm?
Brain aneurysms can develop in anyone at any age, but are more common in people over 40.
They are also more common in women.
People who smoke and those with high blood pressure are at greater risk of brain aneurysms.
Excessive alcohol consumption and drug use, particularly cocaine, are also associated with brain aneurysms.
What’s the outlook after a ruptured brain aneurysm?
Ruptured brain aneurysms are fatal in about 50% of cases, according to the Brain Aneurysm Foundation.
About 15% of people with a ruptured aneurysm die before reaching the hospital. Most of the deaths are due to rapid and massive brain injury from the initial bleeding.
Of those who survive, about two thirds suffer permanent neurological problems.
Donald Trump has said he is considering “taking away” the US citizenship of actress and comedian Rosie O’Donnell, despite a Supreme Court ruling that expressly prohibits a government from doing so.
In a post on Truth Social on Saturday, the US president said: “Because of the fact that Rosie O’Donnell is not in the best interests of our Great Country, I am giving serious consideration to taking away her Citizenship.”
He also labelled O’Donnell, who has moved to Ireland, as a “threat to humanity” and said she should “remain in the wonderful country of Ireland, if they want her”.
O’Donnell responded on Instagram by posting a photograph of Mr Trump with Jeffrey Epstein.
“You are everything that is wrong with America and I’m everything you hate about what’s still right with it,” she wrote in the caption.
“I’m not yours to silence. I never was.”
Rosie O’Donnell moved to Ireland after Donald Trump secured a second term. Pic: AP
O’Donnell moved to Ireland with her 12-year-old son in January after Mr Trump had secured a second term.
She has said she’s in the process of obtaining Irish citizenship based on family lineage and that she would only return to the US “when it is safe for all citizens to have equal rights there in America”.
O’Donnell and the US president have criticised each other publicly for years, in an often-bitter back-and-forth that predates Mr Trump’s move into politics.
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Will Trump address parliament on UK state visit?
This is just the latest threat by the president to revoke the citizenship of someone he has disagreed with, most recently his former ally Elon Musk.
But the two situations are different as while Musk was born in South Africa, O’Donnell was born in the US and has a constitutional right to American citizenship.
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Amanda Frost, a law professor at the University of Virginia School of Law, said the Supreme Court ruled in a 1967 case that the fourteenth amendment of the constitution prevents the government from taking away citizenship.
“The president has no authority to take away the citizenship of a native-born US citizen,” he added.
“In short, we are nation founded on the principle that the people choose the government; the government cannot choose the people.”
A farmer who fell from a greenhouse roof during an anti-immigrant raid at a licensed cannabis facility in California this week has died of his injuries.
Jaime Alanis, 57, is the first person to die as a result of Donald Trump’s Immigration Compliance and Enforcement (ICE) raids.
His niece, Yesenia Duran, posted on the fundraising site GoFundMe to say her uncle was his family’s only provider and he had been sending his earnings back to his wife and daughter in Mexico.
The United Food Workers said Mr Alanis had worked on the farm for 10 years.
“These violent and cruel federal actions terrorise American communities, disrupt the American food supply chain, threaten lives and separate families,” the union said in a recent statement on X.
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Who is being targeted in Trump’s immigration raids?
The Department of Homeland Security (DHS) said it executed criminal search warrants at Glass House Farms facilities on Thursday.
Mr Alanis called family to say he was hiding and possibly fleeing agents before he fell around 30ft (9m) from the roof and broke his neck, according to information from family, hospital and government sources.
Agents arrested 200 people suspected of being in the country illegally and identified at least 10 immigrant children on the sites, the DHS said in a statement.
Mr Alanis was not among them, the agency said.
“This man was not in and has not been in CBP (Customs and Border Protection) or ICE custody,” DHS assistant secretary for public affairs Tricia McLaughlin said.
“Although he was not being pursued by law enforcement, this individual climbed up to the roof of a greenhouse and fell 30ft. CBP immediately called a medivac to the scene to get him care as quickly as possible.”
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Four US citizens were arrested during the incident for allegedly “assaulting or resisting officers”, the DHS said, and authorities were offering a $50,000 reward for information leading to the arrest of a person suspected of firing a gun at federal agents.
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In a statement, Glass House, a licensed Cannabis grower, said immigration agents had valid warrants. It said workers were detained and it is helping provide them with legal representation.
“Glass House has never knowingly violated applicable hiring practices and does not and has never employed minors,” it added.
Donald Trump has said he is considering “taking away” the US citizenship of actress and comedian Rosie O’Donnell, despite a Supreme Court ruling that expressly prohibits a government from doing so.
In a post on Truth Social on Saturday, the US president said: “Because of the fact that Rosie O’Donnell is not in the best interests of our Great Country, I am giving serious consideration to taking away her Citizenship.”
He also labelled O’Donnell, who has moved to Ireland, as a “threat to humanity” and said she should “remain in the wonderful country of Ireland, if they want her”.
O’Donnell responded on Instagram by posting a photograph of Mr Trump with Jeffrey Epstein.
“You are everything that is wrong with America and I’m everything you hate about what’s still right with it,” she wrote in the caption.
“I’m not yours to silence. I never was.”
Rosie O’Donnell moved to Ireland after Donald Trump secured a second term. Pic: AP
O’Donnell moved to Ireland with her 12-year-old son in January after Mr Trump had secured a second term.
She has said she’s in the process of obtaining Irish citizenship based on family lineage and that she would only return to the US “when it is safe for all citizens to have equal rights there in America”.
O’Donnell and the US president have criticised each other publicly for years, in an often-bitter back-and-forth that predates Mr Trump’s move into politics.
Please use Chrome browser for a more accessible video player
Will Trump address parliament on UK state visit?
This is just the latest threat by the president to revoke the citizenship of someone he has disagreed with, most recently his former ally Elon Musk.
But the two situations are different as while Musk was born in South Africa, O’Donnell was born in the US and has a constitutional right to American citizenship.
Read more from Sky News:
Kate’s ’emotional’ words for tearful tennis star
Music festival cancelled as headliner pulls out
Amanda Frost, a law professor at the University of Virginia School of Law, said the Supreme Court ruled in a 1967 case that the fourteenth amendment of the constitution prevents the government from taking away citizenship.
“The president has no authority to take away the citizenship of a native-born US citizen,” he added.
“In short, we are nation founded on the principle that the people choose the government; the government cannot choose the people.”
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