Clinical Approaches of Intracranial Aneurysm and Subarachnoid Hemorrhage
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".
Deadline for manuscript submissions: 20 August 2026 | Viewed by 3
Special Issue Editor
2. Department of Neurosurgery, Regensburg University Medical Center, Regensburg, Germany
Interests: neurocritical care medicine; subarachnoid hemorrhage; advanced neuromonitoring; traumatic brain injury; intracranial aneurysm
Special Issue Information
Dear Colleagues,
Aneurysmal subarachnoid hemorrhage (aSAH) is a significant global public health concern, with a worldwide incidence of 6.1 per 100,000 person-years. SAH is a severe condition associated with high mortality and morbidity, and in-hospital mortality rates have not shown significant improvement over the years (13.7% in the US in 2006 to 13.1% in 2018).
After surviving the initial insult, the causes of morbidity and mortality are numerous. The primary risk is rebleeding within the first 24 hours, which often results in a poor outcome. Therefore, the initial focus should be on managing pain, maintaining blood pressure, and securing the aneurysm promptly through clipping or coiling. Additionally, any hydrocephalus that develops should be treated promptly.
The second risk appears as extracranial complications like fever, pulmonary issues, or cardiac problems, such as neurogenic myocardial injury, which could hinder neurocritical care for these patients.
The final point is the most feared complication after aSAH, which is cerebral vasospasm and possible delayed cerebral ischemia, potentially resulting in death or severe disability.
Topics will include the following:
- Securing the aneurysm → time and techniques;
- Neuro ICU diagnostic and treatment of extracranial complications of aSAH;
- Prevention and treatment of cerebral vasospasm;
- Surgical and endovascular treatment of aSAH and new approaches;
- Treatment of extracranial complications;
- Treatment and/or prevention of cerebral vasospasm and DCI;
- Biomarkers Diagnostic approaches.
Dr. Sylvia Bele
Guest Editor
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Keywords
- aSAH
- clipping or coiling
- extracranial complications
- cerebral vasospasm
- ICU treatment
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