Timing of Treatment for Ruptured Cerebral Aneurysms: Impact on Clinical Outcome. A Case Series from a Tertiary Center
In our experience, timely treatment within 24 hours remains a safe and effective strategy, while accelerating intervention to within a few hours did not confer additional benefit for most patients. Fisher grade remains a strong predictor of outcome, underscoring the value of radiological severity in prognostic assessment. Early EVD placement may offer benefit in selected patients, but further prospective studies are warranted to clarify its role in outcome improvement.
Authors
- Riccardo Antonio Ricciuti (ORCID: https://orcid.org/0000-0003-4970-2065)
- Carolina Noya (ORCID: https://orcid.org/0000-0001-7403-9977)
- Samuele Santi
- Gianluca De Rubeis (ORCID: https://orcid.org/0000-0002-9567-6710)
- Enrico Pampana (ORCID: https://orcid.org/0000-0002-1419-1229)
- G Moretti (ORCID: https://orcid.org/0000-0002-2700-7566)
- Luigi Tritapepe (ORCID: https://orcid.org/0000-0003-0480-1705)
- Luca Bertaccini (ORCID: https://orcid.org/0000-0001-5778-8968)
- Sebastiano Fabiano (ORCID: https://orcid.org/0000-0001-9954-6932)
- Andrea Brunori (ORCID: https://orcid.org/0000-0002-0279-5092)
- F Lapolla
Institutions
- Università Cattolica del Sacro Cuore (IT)
- IRCCS San Camillo Hospital (IT)
- Carlo Forlanini Hospital (IT)
- Sapienza University of Rome (IT)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2025-10-15
- DOI
- https://doi.org/10.1016/j.wneu.2025.124561
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00