Predictive outcome factors in the treatment of subarachnoid hemorrhage with hematoma caused by ruptured anterior circulation aneurysms: A monocentric experience
Our study analyzed a series of cases involving CSAH from anterior circulation aneurysms. We emphasize the importance of prompt treatment for hydrocephalus and suggest that the diagnosis of Tako-Tsubo should delay but not prevent treatment. Depending on local ethical standards, treatment abstention could be considered in patients with severe WFNS scores, the presence of mydriasis, hematoma >45 mL, and hydrocephalus. Our findings indicate that life-threatening hematomas are best managed surgically, while smaller, non-life-threatening cases may benefit from endovascular treatment, though further randomized trials are needed for validation.
Authors
- Nadira Delhem (ORCID: https://orcid.org/0000-0001-5335-4222)
- Pierre Haettel
- Tomas Menovsky (ORCID: https://orcid.org/0000-0002-0889-856X)
- Rabih Aboukaïs (ORCID: https://orcid.org/0000-0002-2212-806X)
- Martin Bretzner (ORCID: https://orcid.org/0000-0002-7594-4159)
- Antoine Devalckeneer (ORCID: https://orcid.org/0000-0002-6111-3768)
- Philippe Poidevin
- Théo Dufresne
- Alexandre Poulain
Institutions
- Centre National de la Recherche Scientifique (FR)
- Inserm (FR)
- Université de Lille (FR)
- Centre Hospitalier Universitaire de Lille (FR)
- Lille’s Cardiology Hospital (FR)
- Antwerp University Hospital (BE)
- Hôpital Nord (FR)
- Laboratoire Paul Painlevé (FR)
- Université Lille Nord de France (FR)
Publication Details
- Journal
- Neurochirurgie
- Published
- 2025-02-28
- DOI
- https://doi.org/10.1016/j.neuchi.2025.101655
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00