Evidence map›Paper›PMID 24323051›Full record

ReviewNature reviews. Neurology2014

Delayed neurological deterioration after subarachnoid haemorrhage.

R Loch Macdonald

5 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 453 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
453citing papers in PubMed, 7 pooled it
26.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03987139 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Cerebral Autoregulation in Patients With Aneurysmal SubArachnoid Haemorrhage

TypeinterventionalSponsorRigshospitalet, DenmarkRan2019 to 2022Enrolled45ConditionsSubarachnoid Hemorrhage, AneurysmalArmsHypertension, Hyper- and hypoxia, Hyper- and hypocapnia
NCT05686265 terminatednot on this mapstarted 2023, after this paper: background citation

Cerebral Nitrosative/Oxidative Stress in Aneurysmal Subarachnoid Haemorrhage

TypeobservationalSponsorRigshospitalet, DenmarkRan2023 to 2024Enrolled3ConditionsSubarachnoid Hemorrhage, AneurysmalArmsOxygen
NCT06138353 phase2 / phase3unknown statusnot on this mapstarted 2024, after this paper: background citation

Shuxuening Injection for the Prevention of Cerebral Vasospasm in Patients With Aneurysmal Subarachnoid Hemorrhage -- A Randomized, Double-blind, Placebo-parallel Controlled Clinical Trial

TypeinterventionalSponsorXiaolin Chen, MDRan2024 to 2025Enrolled50ConditionsSubarachnoid Hemorrhage, AneurysmalArmsShuxuening injection or placebo
NCT06329635 narecruitingnot on this mapstarted 2024, after this paper: background citation

Trial of Treatment of Vasospasm Associated With Aneurysmal Subarachnoid Hemorrhage With Intrathecal Injection of Nicardipine: a Multi-center, Prospective, Double-blinded, Randomized Controlled Trial

TypeinterventionalSponsorThe Affiliated Hospital Of Guizhou Medical UniversityRan2024 to 2026Enrolled396ConditionsAneurysmal Subarachnoid Hemorrhage, VasospasmArmsIntrathecal Nicardipine, No intervention
NCT07030985 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Perfusion Imaging Score to Predict Delayed Cerebral Ischemia

TypeinterventionalSponsorStanford UniversityRan2025 to 2026Enrolled55ConditionsAneurysmal Subarachnoid Hemorrhage, Cerebral IschemiaArmsCTP scan, Neurological and neuropsychological testing
3 · Its place in the literature

Who cites it

453 citing papers in PubMed, 7 syntheses or guidelines pooled it, 879 citations in OpenAlex.

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393 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

R Loch MacdonaldDivision of Neurosurgery, St Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8, Canada.
St. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subarachnoid haemorrhage (SAH) causes early brain injury (EBI) that is mediated by effects of transient cerebral ischaemia during bleeding plus effects of the subarachnoid blood. Secondary effects of SAH include increased intracranial pressure, destruction of brain tissue by intracerebral haemorrhage, brain shift, and herniation, all of which contribute to pathology. Many patients survive these phenomena, but deteriorate days later from delayed cerebral ischaemia (DCI), which causes poor outcome or death in up to 30% of patients with SAH. DCI is thought to be caused by the combined effects of angiographic vasospasm, arteriolar constriction and thrombosis, cortical spreading ischaemia, and processes triggered by EBI. Treatment for DCI includes prophylactic administration of nimodipine, and current neurointensive care. Prompt recognition of DCI and immediate treatment by means of induced hypertension and balloon or pharmacological angioplasty are considered important by many physicians, although the evidence to support such approaches is limited. This Review summarizes the pathophysiology of DCI after SAH and discusses established treatments for this condition. Novel strategies--including drugs such as statins, sodium nitrite, albumin, dantrolene, cilostazol, and intracranial delivery of nimodipine or magnesium--are also discussed.

Indexed as

Brain InjuriesDisease ProgressionEncephalitisHumansModels, NeurologicalNeuroimagingSubarachnoid HemorrhageVasospasm, Intracranial

Identifiers

PMID24323051
OpenAlexW2137299577

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.