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Rebleeding leads to lots of patients' disability and mortality after spontaneous subarachnoid hemorrhage (SAH), but the risk factors of rebleeding have not been fully understood. More evidence showed apolipoprotein E (apoE protein, APOE gene) influenced the outcome of spontaneous SAH. In this study, we aimed to investigate the relationship of APOE polymorphisms with rebleeding after spontaneous SAH. A total of 185 patients with spontaneous SAH were involved in the current study. Genomic DNA was extracted from venous blood samples to identify the APOE genotype by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Rebleeding was defined as acute clinical deterioration that was accompanied by computed tomography (CT) evidence of rebleeding in the subarachnoid space. A total of 21 patients occurred rebleeding in 185 patients with spontaneous SAH in the hospital. Data were analyzed by χ(2)-test and logistic regression analyses. The statistical analysis indicated no significant association between APOE genotype and rebleeding in a Chinese population.
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http://dx.doi.org/10.3109/00207454.2012.678445 | DOI Listing |
Neuroscience
September 2025
Institute of Neurology, General Hospital of Northern Theater Command, Shenyang, Liaoning 110016, China. Electronic address:
Perimesencephalic non-aneurysmal subarachnoid hemorrhage (pmSAH) is a subtype of subarachnoid hemorrhage (SAH) where the bleeding source remains unclear. It is generally associated with a benign clinical course compared to other SAH types. This study retrospectively analyzed 198 pmSAH patients admitted between January 2019 and December 2023, along with 137 non-perimesencephalic non-aneurysmal subarachnoid hemorrhage (npmSAH) and 198 aneurysmal SAH patients as controls.
View Article and Find Full Text PDFBMJ Open
September 2025
NIHR Global Health Research Group on Acquired Brain and Spine Injury, University of Cambridge, Cambridge, UK.
Introduction: Stroke is the second leading cause of death worldwide, with the greatest burden in low- and middle-income countries (LMICs). Haemorrhagic stroke or spontaneous intracranial haemorrhage (sICH), including intraparenchymal haemorrhage (IPH) and subarachnoid haemorrhage (SAH), has the highest mortality and morbidity. Local management practices for haemorrhagic stroke vary greatly between geographical regions.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
September 2025
Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina.
Background: Spontaneous rupture of an undiagnosed aneurysm during a neurosurgical procedure not aimed at treating it is exceedingly rare, although multiple intraoperative factors can contribute to this situation.
Observations: A patient in his 20s with a history of a 60-cm3 left intraparenchymal hematoma treated via decompressive craniectomy in November 2024 presented in March 2025 with a first-time seizure. Keppra was initiated, and the patient was admitted for cranioplasty.
Neurosurg Rev
September 2025
Associate Professor of Neurosurgery, Department of Neurosurgery, Kermanshah University of Medical Sciences, Imam Reza Hospital, Kermanshah, Iran.
The identification of factors associated with chronic shunt-dependent hydrocephalus (CSDH) following spontaneous subarachnoid hemorrhage (SAH) remains challenging, despite numerous studies. Early recognition of patients at higher risk for requiring shunt placement is important for optimizing management strategies. This systematic review and meta-analysis evaluated the efficacy of machine learning (ML) algorithms in analyzing datasets related to CSDH post-SAH, assessing performance metrics such as sensitivity, accuracy, and specificity.
View Article and Find Full Text PDFNeurol Int
August 2025
Department of Vascular Neurology, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Background: Cerebral amyloid angiopathy (CAA) is a common cause of spontaneous intracerebral hemorrhage (ICH) in elderly individuals, and it is characterized by the deposition of amyloid β protein (Aß) in the walls of small-caliber cortical and leptomeningeal vessels. The diagnostic criteria for CAA highlight its association with spontaneous lobar hemorrhage, convexity subarachnoid hemorrhage (SAH), and cortical superficial siderosis but not with subdural hematoma (SDH). This article presents a three-patient case series of CAA who experienced a lobar ICH associated with an SDH, underscoring a potentially under-recognized correlation between an acute ICH and coexistent SDH.
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