Evidence map›Paper›PMID 39559638›Full record

ArticleCureus2024

Atypical Presentation of a Ruptured Anterior Communicating Artery Aneurysm With Subdural, Intraparenchymal, and Subarachnoid Hemorrhage.

Nicholas Dietz, Aashka Sheth, Phil Ostrov, Edward Ham, Jersey Mettille, Heidi Koenig, Isaac Abecassis, Brian J Williams, Dale Ding

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nicholas DietzNeurosurgery, University of Louisville Hospital, Louisville, USA.
Aashka ShethNeurosurgery, University of Louisville Hospital, Louisville, USA.
Phil OstrovNeurosurgery, University of Louisville Hospital, Louisville, USA.
Edward HamNeurosurgery, University of Louisville Hospital, Louisville, USA.
Jersey MettilleAnesthesiology, University of Louisville Hospital, Louisville, USA.
Heidi KoenigAnesthesiology, University of Louisville Hospital, Louisville, USA.
Isaac AbecassisNeurosurgery, University of Louisville Hospital, Louisville, USA.
Brian J WilliamsNeurosurgery, University of Louisville Hospital, Louisville, USA.
Dale DingNeurosurgery, University of Louisville Hospital, Louisville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior communicating artery (ACom) aneurysm, one of the most frequent types of intracranial aneurysm rupture, usually results in a subarachnoid hemorrhage (SAH) with intraventricular hemorrhage. We describe a case of an ACom aneurysm rupture with subarachnoid, intraparenchymal, and subdural hemorrhages (SDH) with midline shift in a 55-year-old woman. Decompressive craniectomy was performed to evacuate the SDH with subsequent microsurgical clipping of the aneurysm. Postoperative angiogram showed occlusion of the ACom aneurysm without residual flow. Mechanisms to explain multimodal bleeding with SAH, intraparenchymal hemorrhage, and SDH include adhesion of aneurysm to arachnoid membrane, high pressure hemorrhage, and spontaneous laceration of the arachnoid membrane. Management of multifocal hemorrhage pattern including SDH after ACom aneurysm rupture is dependent on anatomical and radiographic features as well as the clinical condition of the patient on admission. Decompressive craniectomy is a suitable treatment option for patients with concurrent spontaneous SAH, intraparenchymal hemorrhage, and SDH.

Indexed as

anterior communicating arteryanuerysm ruptureintraparenchymal hemorrhagesubarachnoid hemorrhagesubdural hematoma

Identifiers

PMID39559638
PMCPMC11570427

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Registered trials

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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.