ReviewBrain and behavior2022
Physical exertion as a risk factor for perimesencephalic nonaneurysmal subarachnoid hemorrhage.
Review in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Risk Factors for Cognitive Impairment Following Angiographically Negative Subarachnoid Haemorrhage Around the Midbrain.Journal of multidisciplinary healthcare · 2025Article
- Perimesencephalic subarachnoid haemorrhage: A case study.Journal of the colleges of medicine of South Africa · 2025Article
- Early sexual activity lowers the incidence of intracranial aneurysm: a Mendelian randomization investigation.Frontiers in neurology · 2024Article
- Clinical outcome and prognostic factors of patients with non-traumatic angiography-negative subarachnoid hemorrhage.Frontiers in neurology · 2023Article
- Physical exertion as a risk factor for perimesencephalic nonaneurysmal subarachnoid hemorrhage.Brain and behavior · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerimesencephalic and nonperimesencephalic nonaneurysmal subarachnoid hemorrhage (PM-naSAH and NPM-naSAH) have a different bleeding pattern and clinical course. The etiology and risk factors for PM-naSAH and NPM-naSAH are unclear. The objective of this study was to compare risk factors and triggering events between PM-naSAH and NPM-naSAH.
methodsWe reviewed retrospectively all patients (n = 3475) who had undergone cerebral digital subtraction angiography between 2003 and 2020 at our tertiary hospital. Of these, 119 patients had 6-vessel angiography negative subarachnoid hemorrhage (47 (39%) PM-naSAH and 72 (61%) NPM-naSAH) and accurate information about the triggering event was available in 42 (89%) PM-NASAH and 64 (89%) NPM-naSAH patients.
resultsPM-naSAH were younger compared to NPM-naSAH (mean age [SD]; 55.3 [11.1] years vs. 59.6 [12.2] years, p = .045. PM-naSAH was triggered during the physical exertion in 79% of patients and 16% of patients with NPM-naSAH (relative risk 5.4; 95% CI, 2.9-10.1, p < .0001). There were no significant difference in sex, smoking, alcohol abuse, hypertension, diabetes, hyperlipidemia, or anticoagulation/antithrombotic usage between PM-naSAH and NMP-naSAH, p > .05.
conclusionPhysical exertion was a triggering factor in most of the PM-naSAH cases and the risk was five times greater than in NMP-naSAH. More studies are needed to confirm our results and to study pathophysiology of PM-naSAH and NPM-naSAH.
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