Evidence map›Paper›PMID 38418755›Full record

ReviewTranslational stroke research2025

Red Blood Cells in the Cerebrospinal Fluid Compartment After Subarachnoid Haemorrhage: Significance and Emerging Therapeutic Strategies.

Soham Bandyopadhyay, Nina Schwendinger, Behnam Rezai Jahromi, Shivanand P Lad, Spiros Blackburn, Stefan Wolf, Diederik Bulters, Ian Galea, Michael Hugelshofer

Open access · hybridAbstract readReview
In one paragraph

Review in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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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

9 authors at 7 institutions in 5 countries.

Soham BandyopadhyayClinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK.ORCID http://orcid.org/0000-0001-6553-3842
Nina SchwendingerDepartment of Neurosurgery, Clinical Neuroscience Center, Universitätsspital and University of Zurich, Zurich, Switzerland.
Behnam Rezai JahromiDepartment of Neurosurgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0003-3937-2816
Shivanand P LadDepartment of Neurosurgery, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4991-5319
Spiros BlackburnDepartment of Neurosurgery, University of Texas Houston Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2902-5079
Stefan WolfDepartment of Neurosurgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID http://orcid.org/0000-0002-3563-3954
Diederik BultersClinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK.ORCID http://orcid.org/0000-0001-9884-9050
Ian GaleaClinical Neurosciences, Clinical & Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, Hampshire, UK.ORCID http://orcid.org/0000-0002-1268-5102
Michael HugelshoferDepartment of Neurosurgery, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. michael.hugelshofer@umm.de.ORCID http://orcid.org/0000-0002-3057-0472
University Hospital Southampton NHS Foundation Trust · GBDuke Medical Center · USHeidelberg University · DEHumboldt-Universität zu Berlin · DEThe University of Texas Health Science Center at Houston · USUniversity of Helsinki · FIUniversity of Zurich · CH

Funding

National Institute for Health and Care Research ACF-2022-26-004
6 · The paper itself

Abstract

Subarachnoid haemorrhage (SAH) is a subtype of stroke that predominantly impacts younger individuals. It is associated with high mortality rates and can cause long-term disabilities. This review examines the contribution of the initial blood load and the dynamics of clot clearance to the pathophysiology of SAH and the risk of adverse outcomes. These outcomes include hydrocephalus and delayed cerebral ischaemia (DCI), with a particular focus on the impact of blood located in the cisternal spaces, as opposed to ventricular blood, in the development of DCI. The literature described underscores the prognostic value of haematoma characteristics, such as volume, density, and anatomical location. The limitations of traditional radiographic grading systems are discussed, compared with the more accurate volumetric quantification techniques for predicting patient prognosis. Further, the significance of red blood cells (RBCs) and their breakdown products in secondary brain injury after SAH is explored. The review presents novel interventions designed to accelerate clot clearance or mitigate the effects of toxic byproducts released from erythrolysis in the cerebrospinal fluid following SAH. In conclusion, this review offers deeper insights into the complex dynamics of SAH and discusses the potential pathways available for advancing its management.

Indexed as

Cerebrospinal FluidErythrocytesSubarachnoid HemorrhageBrain IschemiaHumansBlood volumeHaemoglobinHaptoglobinLumbar drainNeurapheresisSubarachnoid haemorrhage

Identifiers

PMID38418755
PMCPMC11772394
OpenAlexW4392292556

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.