Clinical Characteristics of Subarachnoid Hemorrhage with an Intracerebral Hematoma and Prognostic Factors

Aneurysmal intracerebral hematoma: Risk factors and surgical treatment decisions

“…Intracerebral hematoma (ICH) due to rupture of intracranial aneurysm (IA) occur in 10 to 38% of cases with subarachnoid hemorrhage (SAH) [19,25,22,17,12,2,10,16]. It is commonly accepted that aneurysmal ICH complicates the natural course of disease and is connected to increased morbidity and mortality [19,25,22].…”

“…The mass effect caused by the hematoma might lead to a prolonged intracranial pressure (ICP) known as one of the possible contributors to early brain injury (EBI) [21]. IA of the anterior circulation especially located in the middle cerebral artery (MCA) [19,1,27,16] but also in the anterior cerebral artery (ACA) [25,1] have been identified as risk factors for ICH occurrence. Recent studies focused on identification of additional patientand IA-related risk factors for aneurysmal ICH.…”

“…Recent studies focused on identification of additional patientand IA-related risk factors for aneurysmal ICH. Premorbid conditions like arterial hypertension, diabetes and smoking as well as administration of antiplatelet drugs prior to ictus have been correlated with ICH occurrence [12,10,27,16]. Alongside with IA location as acknowledged ICH predictor, size and morphology of ruptured IA have also been analyzed as potential risk factors, however with conflicting results [12,10,16].…”

“…Premorbid conditions like arterial hypertension, diabetes and smoking as well as administration of antiplatelet drugs prior to ictus have been correlated with ICH occurrence [12,10,27,16]. Alongside with IA location as acknowledged ICH predictor, size and morphology of ruptured IA have also been analyzed as potential risk factors, however with conflicting results [12,10,16]. It has been reported that SAH patients with an additional ICH are more likely to present with poor initial clinical condition [25,10,27,16] and develop rebleeding prior to treatment [25,16].…”

“…Alongside with IA location as acknowledged ICH predictor, size and morphology of ruptured IA have also been analyzed as potential risk factors, however with conflicting results [12,10,16]. It has been reported that SAH patients with an additional ICH are more likely to present with poor initial clinical condition [25,10,27,16] and develop rebleeding prior to treatment [25,16].…”