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Aneurysmal Subarachnoid Hemorrhage

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Abstract

Intracranial aneurysms are a non-exceptional disease affecting 1–3 % of the general population. The incidence of aneurysmal subarachnoid hemorrhage (SAH) is about 1/10,000/year. Aneurysmal SAH is a devastating disease leading to death approximately in 50 % of the cases and to neurological sequels in about 25 % of the cases. Management of aneurysmal SAH consists in early exclusion of the aneurysm’s sac either by endovascular means or by microsurgical clipping. Intensive care management is of tremendous importance to treat SAH-related complications like hydrocephalus and to prevent delayed complications such as vasospasm. Current perspectives for intracranial aneurysms management consist in a better selection of the unruptured aneurysms to treat, in order to propose a preventive treatment of exclusion before they bleed.

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References

  1. Johnston SC, Higashida RT, Barrow DL et al (2002) Recommendations for the endovascular treatment of intracranial aneurysms: a statement for healthcare professionals from the Committee on Cerebrovascular Imaging of the American Heart Association Council on Cardiovascular Radiology. Stroke J Cereb Circ 33:2536–2544

    Article  Google Scholar 

  2. Bardach NS, Zhao S, Gress DR et al (2002) Association between subarachnoid hemorrhage outcomes and number of cases treated at California hospitals. Stroke J Cereb Circ 33:1851–1856

    Article  Google Scholar 

  3. de Rooij NK, Linn FH, van der Plas JA et al (2007) Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends. J Neurol Neurosurg Psychiatry 78:1365–1372

    Article  PubMed Central  PubMed  Google Scholar 

  4. Muller TB, Sandvei MS, Kvistad KA et al (2013) Unruptured intracranial aneurysms in the Norwegian Nord-Trondelag Health Study (HUNT): risk of rupture calculated from data in a population-based cohort study. Neurosurgery 73:256–261, discussion 260; quiz 261

    Article  PubMed  Google Scholar 

  5. Caranci F, Briganti F, Cirillo L et al (2013) Epidemiology and genetics of intracranial aneurysms. Eur J Radiol 82:1598–1605

    Article  CAS  PubMed  Google Scholar 

  6. Lafuente J, Maurice-Williams RS (2003) Ruptured intracranial aneurysms: the outcome of surgical treatment in experienced hands in the period prior to the advent of endovascular coiling. J Neurol Neurosurg Psychiatry 74:1680–1684

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Fraser JF, Riina H, Mitra N et al (2006) Treatment of ruptured intracranial aneurysms: looking to the past to register the future. Neurosurgery 59:1157–1166, discussion 1166–1157

    PubMed  Google Scholar 

  8. Wermer MJ, van der Schaaf IC, Algra A et al (2007) Risk of rupture of unruptured intracranial aneurysms in relation to patient and aneurysm characteristics: an updated meta-analysis. Stroke J Cereb Circ 38:1404–1410

    Article  Google Scholar 

  9. (1998) Unruptured intracranial aneurysms--risk of rupture and risks of surgical intervention. International study of unruptured intracranial aneurysms investigators. N Engl J Med 339:1725–1733

    Google Scholar 

  10. Bonneville F, Sourour N, Biondi A (2006) Intracranial aneurysms: an overview. Neuroimaging Clin N Am 16:371–382

    Article  PubMed  Google Scholar 

  11. Brisman JL, Song JK, Newell DW (2006) Cerebral aneurysms. N Engl J Med 355:928–939

    Article  CAS  PubMed  Google Scholar 

  12. Mizutani T, Miki Y, Kojima H et al (1999) Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurgery 45:253–259, discussion 259–260

    Article  CAS  PubMed  Google Scholar 

  13. Niemczyk M, Gradzik M, Niemczyk S et al (2013) Intracranial aneurysms in autosomal dominant polycystic kidney disease. AJNR Am J Neuroradiol 34:1556–1559

    Article  CAS  PubMed  Google Scholar 

  14. Rozenfeld MN, Ansari SA, Shaibani A et al (2014) Should patients with autosomal dominant polycystic kidney disease be screened for cerebral aneurysms? AJNR Am J Neuroradiol 35:3–9

    Article  CAS  PubMed  Google Scholar 

  15. Rinkel GJ, Djibuti M, Algra A et al (1998) Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke J Cereb Circ 29:251–256

    Article  CAS  Google Scholar 

  16. Schievink WI (2004) Cerebrovascular involvement in Ehlers-Danlos syndrome. Curr Treat Options Cardiovasc Med 6:231–236

    Article  PubMed  Google Scholar 

  17. Schievink WI (1999) Marfan syndrome and intracranial aneurysms. Stroke J Cereb Circ 30:2767–2768

    Article  CAS  Google Scholar 

  18. Schievink WI, Katzmann JA, Piepgras DG et al (1996) Alpha-1-antitrypsin phenotypes among patients with intracranial aneurysms. J Neurosurg 84:781–784

    Article  CAS  PubMed  Google Scholar 

  19. Ruigrok YM, Rinkel GJ (2008) Genetics of intracranial aneurysms. Stroke J Cereb Circ 39:1049–1055

    Article  Google Scholar 

  20. Ruigrok YM, Rinkel GJ, Algra A et al (2004) Characteristics of intracranial aneurysms in patients with familial subarachnoid hemorrhage. Neurology 62:891–894

    Article  CAS  PubMed  Google Scholar 

  21. Wiebers DO, Whisnant JP, Huston J 3rd et al (2003) Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362:103–110

    Article  PubMed  Google Scholar 

  22. Nieuwkamp DJ, Setz LE, Algra A et al (2009) Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol 8:635–642

    Article  PubMed  Google Scholar 

  23. Stapleton CJ, Walcott BP, Fusco MR, Butler WE, Thomas AJ, Ogilvy CS (2015) Surgical management of ruptured middle cerebral artery aneurysms with large intraparenchymal or sylvian fissure hematomas. Neurosurgery. 76(3):258–64

    Article  PubMed  Google Scholar 

  24. Boujemaa H, Gongora-Rivera F, Barragan-Campos H et al (2006) Bilateral acute subdural hematoma from ruptured posterior communicating artery aneurysm. A case report. Interv Neuroradiol J Peritherapeutic Neuroradiol Surg Proc Relat Neurosci 12:37–40

    CAS  Google Scholar 

  25. Feely M, Kapoor S (1987) Third nerve palsy due to posterior communicating artery aneurysm: the importance of early surgery. J Neurol Neurosurg Psychiatry 50:1051–1052

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Clarencon F, Bonneville F, Boch AL et al (2011) Parent artery occlusion is not obsolete in giant aneurysms of the ICA. Experience with very-long-term follow-up. Neuroradiology 53:973–982

    Article  PubMed  Google Scholar 

  27. Roccatagliata L, Guedin P, Condette-Auliac S et al (2010) Partially thrombosed intracranial aneurysms: symptoms, evolution, and therapeutic management. Acta Neurochir 152:2133–2142

    Article  PubMed  Google Scholar 

  28. Davies A, Dale O, Renowden S (2011) Spontaneous rupture of an intra-cavernous internal carotid artery aneurysm presenting with massive epistaxis. J Laryngol Otol 125:1070–1072

    Article  CAS  PubMed  Google Scholar 

  29. Cortnum S, Sorensen P, Jorgensen J (2010) Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage. Neurosurgery 66:900–902, discussion 903

    PubMed  Google Scholar 

  30. Latchaw RE, Silva P, Falcone SF (1997) The role of CT following aneurysmal rupture. Neuroimaging Clin N Am 7:693–708

    CAS  PubMed  Google Scholar 

  31. Sohn CH, Baik SK, Lee HJ et al (2005) MR imaging of hyperacute subarachnoid and intraventricular hemorrhage at 3T: a preliminary report of gradient echo T2*-weighted sequences. AJNR Am J Neuroradiol 26:662–665

    PubMed  Google Scholar 

  32. Mohamed M, Heasly DC, Yagmurlu B et al (2004) Fluid-attenuated inversion recovery MR imaging and subarachnoid hemorrhage: not a panacea. AJNR Am J Neuroradiol 25:545–550

    PubMed  Google Scholar 

  33. Verma RK, Kottke R, Andereggen L et al (2013) Detecting subarachnoid hemorrhage: comparison of combined FLAIR/SWI versus CT. Eur J Radiol 82:1539–1545

    Article  PubMed  Google Scholar 

  34. Sidman R, Connolly E, Lemke T (1996) Subarachnoid hemorrhage diagnosis: lumbar puncture is still needed when the computed tomography scan is normal. Acad Emerg Med 3:827–831

    Article  CAS  PubMed  Google Scholar 

  35. Davis SM, Donnan GA (2008) Thunderclap headache: CT and lumbar puncture but occasionally more! Stroke J Cereb Circ 39:1396

    Article  Google Scholar 

  36. Cruickshank A, Auld P, Beetham R et al (2008) Revised national guidelines for analysis of cerebrospinal fluid for bilirubin in suspected subarachnoid haemorrhage. Ann Clin Biochem 45:238–244

    Article  CAS  PubMed  Google Scholar 

  37. Marder CP, Narla V, Fink JR et al (2014) Subarachnoid hemorrhage: beyond aneurysms. AJR Am J Roentgenol 202:25–37

    Article  PubMed  Google Scholar 

  38. Geibprasert S, Pongpech S, Jiarakongmun P et al (2010) Radiologic assessment of brain arteriovenous malformations: what clinicians need to know. Radiogr Rev Publ Radiol Soc North Am Inc 30:483–501

    Google Scholar 

  39. Li Q, Lv F, Yao G et al (2014) 64-section multidetector CT angiography for evaluation of intracranial aneurysms: comparison with 3D rotational angiography. Acta Radiol 55(7):840–6

    Google Scholar 

  40. Taschner CA, Thines L, Lernout M et al (2007) Treatment decision in ruptured intracranial aneurysms: comparison between multi-detector row CT angiography and digital subtraction angiography. J Neuroradiol 34:243–249

    Article  PubMed  Google Scholar 

  41. Teksam M, McKinney A, Casey S et al (2004) Multi-section CT angiography for detection of cerebral aneurysms. AJNR Am J Neuroradiol 25:1485–1492

    PubMed  Google Scholar 

  42. Zhang H, Hou C, Zhou Z et al (2012) Evaluating of small intracranial aneurysms by 64-detector CT angiography: a comparison with 3-dimensional rotation DSA or surgical findings. J Neuroimag Off J Am Soc Neuroimag

    Google Scholar 

  43. Luo Z, Wang D, Sun X et al (2012) Comparison of the accuracy of subtraction CT angiography performed on 320-detector row volume CT with conventional CT angiography for diagnosis of intracranial aneurysms. Eur J Radiol 81:118–122

    Article  PubMed  Google Scholar 

  44. Yanamadala V, Sheth SA, Walcott BP et al (2013) Non-contrast 3D time-of-flight magnetic resonance angiography for visualization of intracranial aneurysms in patients with absolute contraindications to CT or MRI contrast. J Clin Neurosci 20:1122–1126

    Article  PubMed Central  PubMed  Google Scholar 

  45. Missler U, Hundt C, Wiesmann M et al (2000) Three-dimensional reconstructed rotational digital subtraction angiography in planning treatment of intracranial aneurysms. Eur Radiol 10:564–568

    Article  CAS  PubMed  Google Scholar 

  46. Hui FK, Tumialan LM, Tanaka T et al (2009) Clinical differences between angiographically negative, diffuse subarachnoid hemorrhage and perimesencephalic subarachnoid hemorrhage. Neurocrit Care 11:64–70

    Article  PubMed  Google Scholar 

  47. Lin N, Zenonos G, Kim AH et al (2012) Angiogram-negative subarachnoid hemorrhage: relationship between bleeding pattern and clinical outcome. Neurocrit Care 16:389–398

    Article  PubMed  Google Scholar 

  48. Dalyai R, Chalouhi N, Theofanis T et al (2013) Subarachnoid hemorrhage with negative initial catheter angiography: a review of 254 cases evaluating patient clinical outcome and efficacy of short- and long-term repeat angiography. Neurosurgery 72:646–652, discussion 651–642

    PubMed  Google Scholar 

  49. Molyneux A, Kerr R, Stratton I et al (2002) International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360:1267–1274

    Article  PubMed  Google Scholar 

  50. Wong GK, Boet R, Ng SC et al (2012) Ultra-early (within 24 hours) aneurysm treatment after subarachnoid hemorrhage. World Neurosurg 77:311–315

    Article  PubMed  Google Scholar 

  51. Guglielmi G, Vinuela F, Dion J et al (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: preliminary clinical experience. J Neurosurg 75:8–14

    Article  CAS  PubMed  Google Scholar 

  52. Moret J, Cognard C, Weill A et al (1997) Reconstruction technic in the treatment of wide-neck intracranial aneurysms. Long-term angiographic and clinical results. Apropos of 56 cases. J Neuroradiol 24:30–44

    CAS  PubMed  Google Scholar 

  53. van Rooij WJ, Sluzewski M, Beute GN et al (2006) Procedural complications of coiling of ruptured intracranial aneurysms: incidence and risk factors in a consecutive series of 681 patients. AJNR Am J Neuroradiol 27:1498–1501

    PubMed  Google Scholar 

  54. Shapiro M, Babb J, Becske T et al (2008) Safety and efficacy of adjunctive balloon remodeling during endovascular treatment of intracranial aneurysms: a literature review. AJNR Am J Neuroradiol 29:1777–1781

    Article  CAS  PubMed  Google Scholar 

  55. Albayram S, Selcuk H, Kara B et al (2004) Thromboembolic events associated with balloon-assisted coil embolization: evaluation with diffusion-weighted MR imaging. AJNR Am J Neuroradiol 25:1768–1777

    PubMed  Google Scholar 

  56. Crowley RW, Albuquerque FC, Ducruet AF et al (2012) Technical considerations in the endovascular management of aneurysms of the posterior inferior cerebellar artery. Neurosurgery 71:ons204–ons217, discussion ons217–ons208

    PubMed  Google Scholar 

  57. Chapot R, Houdart E, Saint-Maurice JP et al (2002) Endovascular treatment of cerebral mycotic aneurysms. Radiology 222:389–396

    Article  PubMed  Google Scholar 

  58. Yoo E, Kim DJ, Kim DI et al (2009) Bailout stent deployment during coil embolization of intracranial aneurysms. AJNR Am J Neuroradiol 30:1028–1034

    Article  CAS  PubMed  Google Scholar 

  59. Gonzalez AM, Narata AP, Yilmaz H et al (2014) Blood blister-like aneurysms: single center experience and systematic literature review. Eur J Radiol 83:197–205

    Article  PubMed  Google Scholar 

  60. Spetzler RF, McDougall CG, Albuquerque FC et al (2013) The barrow ruptured aneurysm trial: 3-year results. J Neurosurg 119:146–157

    Article  PubMed  Google Scholar 

  61. Cudlip SA, Kitchen ND, McKhahn GM et al (1998) Wrapping of solitary ruptured intracranial aneurysms, outcome at five years. Acta Neurochir 140:1167–1170, discussion 1170–1161

    Article  CAS  PubMed  Google Scholar 

  62. Kivipelto L, Niemela M, Meling T et al (2014) Bypass surgery for complex middle cerebral artery aneurysms: impact of the exact location in the MCA tree. J Neurosurg 120:398–408

    Article  PubMed  Google Scholar 

  63. Valenca MM (2013) “Sit back, observe, and wait.” Or is there a pharmacologic preventive treatment for cerebral aneurysms? Neurosurg Rev 36:1–9, discussion 9–10

    Article  PubMed  Google Scholar 

  64. Edlow JA, Malek AM, Ogilvy CS (2008) Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med 34:237–251

    Article  PubMed  Google Scholar 

  65. Rosengart AJ, Schultheiss KE, Tolentino J et al (2007) Prognostic factors for outcome in patients with aneurysmal subarachnoid hemorrhage. Stroke J Cereb Circ 38:2315–2321

    Article  Google Scholar 

  66. Feigin VL, Findlay M (2006) Advances in subarachnoid hemorrhage. Stroke J Cereb Circ 37:305–308

    Article  Google Scholar 

  67. Koenig MA (2012) Management of delayed cerebral ischemia after subarachnoid hemorrhage. Continuum 18:579–597

    PubMed  Google Scholar 

  68. Inagawa T, Kamiya K, Ogasawara H et al (1987) Rebleeding of ruptured intracranial aneurysms in the acute stage. Surg Neurol 28:93–99

    Article  CAS  PubMed  Google Scholar 

  69. Ohkuma H, Tsurutani H, Suzuki S (2001) Incidence and significance of early aneurysmal rebleeding before neurosurgical or neurological management. Stroke J Cereb Circ 32:1176–1180

    Article  CAS  Google Scholar 

  70. Hasan D, Lindsay KW, Vermeulen M (1991) Treatment of acute hydrocephalus after subarachnoid hemorrhage with serial lumbar puncture. Stroke J Cereb Circ 22:190–194

    Article  CAS  Google Scholar 

  71. Dorsch NW (1995) Cerebral arterial spasm–a clinical review. Br J Neurosurg 9:403–412

    Article  CAS  PubMed  Google Scholar 

  72. Dumont AS, Dumont RJ, Chow MM et al (2003) Cerebral vasospasm after subarachnoid hemorrhage: putative role of inflammation. Neurosurgery 53:123–133, discussion 133–125

    Article  PubMed  Google Scholar 

  73. Sanchez-Pena P, Nouet A, Clarencon F et al (2012) Atorvastatin decreases computed tomography and S100-assessed brain ischemia after subarachnoid aneurysmal hemorrhage: a comparative study. Crit Care Med 40:594–602

    Article  CAS  PubMed  Google Scholar 

  74. Biondi A, Ricciardi GK, Puybasset L et al (2004) Intra-arterial nimodipine for the treatment of symptomatic cerebral vasospasm after aneurysmal subarachnoid hemorrhage: preliminary results. AJNR Am J Neuroradiol 25:1067–1076

    PubMed  Google Scholar 

  75. Linfante I, Delgado-Mederos R, Andreone V et al (2008) Angiographic and hemodynamic effect of high concentration of intra-arterial nicardipine in cerebral vasospasm. Neurosurgery 63:1080–1086, discussion 1086–1087

    Article  PubMed  Google Scholar 

  76. Shankar JJ, dos Santos MP, Deus-Silva L et al (2011) Angiographic evaluation of the effect of intra-arterial milrinone therapy in patients with vasospasm from aneurysmal subarachnoid hemorrhage. Neuroradiology 53:123–128

    Article  PubMed  Google Scholar 

  77. Dorsch NW (2002) Therapeutic approaches to vasospasm in subarachnoid hemorrhage. Curr Opin Crit Care 8:128–133

    Article  PubMed  Google Scholar 

  78. Hart Y, Sneade M, Birks J et al (2011) Epilepsy after subarachnoid hemorrhage: the frequency of seizures after clip occlusion or coil embolization of a ruptured cerebral aneurysm: results from the International Subarachnoid Aneurysm Trial. J Neurosurg 115:1159–1168

    Article  PubMed  Google Scholar 

  79. Claassen J, Peery S, Kreiter KT et al (2003) Predictors and clinical impact of epilepsy after subarachnoid hemorrhage. Neurology 60:208–214

    Article  CAS  PubMed  Google Scholar 

  80. Ahmadian A, Mizzi A, Banasiak M et al (2013) Cardiac manifestations of subarachnoid hemorrhage. Heart Lung Vessels 5:168–178

    PubMed Central  CAS  PubMed  Google Scholar 

  81. Proust F, Martinaud O, Gerardin E et al (2009) Quality of life and brain damage after microsurgical clip occlusion or endovascular coil embolization for ruptured anterior communicating artery aneurysms: neuropsychological assessment. J Neurosurg 110:19–29

    Article  PubMed  Google Scholar 

  82. Terson A (1900) De l’hémorrhagie dans le corps vitre au cours de l’hémorrhagie cerebrale. Clin Ophthalmol 6:309–312

    Google Scholar 

  83. Stienen MN, Lucke S, Gautschi OP et al (2012) Terson haemorrhage in patients suffering aneurysmal subarachnoid haemorrhage: a prospective analysis of 60 consecutive patients. Clin Neurol Neurosurg 114:535–538

    Article  PubMed  Google Scholar 

  84. Chen M (2013) A checklist for cerebral aneurysm embolization complications. J Neurointerv Surg 5:20–27

    Article  PubMed  Google Scholar 

  85. Ricolfi F, Le Guerinel C, Blustajn J et al (1998) Rupture during treatment of recently ruptured aneurysms with Guglielmi electrodetachable coils. AJNR Am J Neuroradiol 19:1653–1658

    CAS  PubMed  Google Scholar 

  86. Elijovich L, Higashida RT, Lawton MT et al (2008) Predictors and outcomes of intraprocedural rupture in patients treated for ruptured intracranial aneurysms: the CARAT study. Stroke J Cereb Circ 39:1501–1506

    Article  Google Scholar 

  87. Vinuela F, Duckwiler G, Mawad M (1997) Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86:475–482

    Article  CAS  PubMed  Google Scholar 

  88. Cognard C, Weill A, Castaings L et al (1998) Intracranial berry aneurysms: angiographic and clinical results after endovascular treatment. Radiology 206:499–510

    Article  CAS  PubMed  Google Scholar 

  89. Doerfler A, Wanke I, Egelhof T et al (2001) Aneurysmal rupture during embolization with Guglielmi detachable coils: causes, management, and outcome. AJNR Am J Neuroradiol 22:1825–1832

    CAS  PubMed  Google Scholar 

  90. Ryu CW, Lee CY, Koh JS et al (2011) Vascular perforation during coil embolization of an intracranial aneurysm: the incidence, mechanism, and clinical outcome. Neurointervention 6:17–22

    Article  PubMed Central  PubMed  Google Scholar 

  91. Cloft HJ, Kallmes DF (2002) Cerebral aneurysm perforations complicating therapy with Guglielmi detachable coils: a meta-analysis. AJNR Am J Neuroradiol 23:1706–1709

    PubMed  Google Scholar 

  92. Leipzig TJ, Morgan J, Horner TG et al (2005) Analysis of intraoperative rupture in the surgical treatment of 1694 saccular aneurysms. Neurosurgery 56:455–468, discussion 455–468

    Article  PubMed  Google Scholar 

  93. Brooks NP, Turk AS, Niemann DB et al (2008) Frequency of thromboembolic events associated with endovascular aneurysm treatment: retrospective case series. J Neurosurg 108:1095–1100

    Article  PubMed  Google Scholar 

  94. Altay T, Kang HI, Woo HH et al (2011) Thromboembolic events associated with endovascular treatment of cerebral aneurysms. J Neurointerv Surg 3:147–150

    Article  PubMed  Google Scholar 

  95. Aggour M, Pierot L, Kadziolka K et al (2010) Abciximab treatment modalities for thromboembolic events related to aneurysm coiling. Neurosurgery 67:503–508

    Article  PubMed  Google Scholar 

  96. Fourie P, Duncan IC (2003) Microsnare-assisted mechanical removal of intraprocedural distal middle cerebral arterial thromboembolism. AJNR Am J Neuroradiol 24:630–632

    PubMed  Google Scholar 

  97. Krayenbuhl N, Erdem E, Oinas M et al (2009) Symptomatic and silent ischemia associated with microsurgical clipping of intracranial aneurysms: evaluation with diffusion-weighted MRI. Stroke J Cereb Circ 40:129–133

    Article  Google Scholar 

  98. Wang T, Zhang JH, Qin X (2011) Analysis on death-associated factors of patients with subarachnoid hemorrhage during hospitalization. Acta Neurochir Suppl 110:219–223

    PubMed  Google Scholar 

  99. Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9

    Article  CAS  PubMed  Google Scholar 

  100. Iosif C, Di Maria F, Sourour N et al (2013) Is a high initial World Federation of Neurosurgery (WFNS) grade really associated with a poor clinical outcome in elderly patients with ruptured intracranial aneurysms treated with coiling? J Neurointerv Surg

    Google Scholar 

  101. Degos V, Gourraud PA, Tursis VT et al (2012) Elderly age as a prognostic marker of 1-year poor outcome for subarachnoid hemorrhage patients through its interaction with admission hydrocephalus. Anesthesiology 117:1289–1299

    Article  PubMed  Google Scholar 

  102. Degos V, Apfel CC, Sanchez P et al (2012) An admission bioclinical score to predict 1-year outcomes in patients undergoing aneurysm coiling. Stroke J Cereb Circ 43:1253–1259

    Article  Google Scholar 

  103. Raymond J, Molyneux AJ, Fox AJ et al (2008) The TEAM trial: safety and efficacy of endovascular treatment of unruptured intracranial aneurysms in the prevention of aneurysmal hemorrhages: a randomized comparison with indefinite deferral of treatment in 2002 patients followed for 10 years. Trials 9:43

    Article  PubMed Central  PubMed  Google Scholar 

  104. Lall RR, Eddleman CS, Bendok BR et al (2009) Unruptured intracranial aneurysms and the assessment of rupture risk based on anatomical and morphological factors: sifting through the sands of data. Neurosurg Focus 26:E2

    Article  PubMed  Google Scholar 

  105. Cebral JR, Mut F, Weir J et al (2011) Quantitative characterization of the hemodynamic environment in ruptured and unruptured brain aneurysms. AJNR Am J Neuroradiol 32:145–151

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  106. Cebral JR, Sheridan M, Putman CM (2010) Hemodynamics and bleb formation in intracranial aneurysms. AJNR Am J Neuroradiol 31:304–310

    Article  PubMed Central  CAS  PubMed  Google Scholar 

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Clarençon, F. et al. (2016). Aneurysmal Subarachnoid Hemorrhage. In: Saba, L., Raz, E. (eds) Neurovascular Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9029-6_19

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