Several Risk Factors for Aneurysmal Subarachnoid Hemorrhage

Cover Page

Cite item

Full Text

Abstract

We reviewed current literature on the role of seasonal, meteorological, or circadian factors in ruptured cerebral aneurysms. We found that cerebral aneurysm rupture most frequently occurs in winter and spring, and less frequently — in summer. The highest number of ruptured cerebral aneurysms happens in the morning, between 8 am and 12 pm. The data regarding meteorological factors' effect on the risk of cerebral aneurysm rupture are conflicting. However, it should be noted that changes in barometric pressure and falling temperature are associated with the risk of aneurysmal subarachnoid hemorrhage.

About the authors

Pavel G. Shnyakin

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Krasnoyarsk Regional Clinical Hospital

Email: shnyakinpavel@mail.ru
ORCID iD: 0000-0001-6321-4557

D. Sci. (Med.), Assoc. Prof., Head, Department of traumatology, orthopedics and neurosurgery with a course of postgraduate education, Head, Regional Vascular Center

Russian Federation, Krasnoyarsk; Krasnoyarsk

Inna A. Kazadaeva

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: inna.alex913@gmail.com
ORCID iD: 0000-0002-1562-6976

resident, Department of nervous diseases with a course of postgraduate education

Russian Federation, Krasnoyarsk

References

  1. Inagawa T., Takechi A., Yahara K. et al. Primary intracerebral and aneurysmal subarachnoid hemorrhage in Izumo City, Japan. Part I: incidence and seasonal and diurnal variations. J. Neurosurg. 2000;93(6):958–966. doi: 10.5137/1019-5149.JTN.29821-20.2
  2. Lee J.M., Jung N.Y., Kim M.S. et al. Relationship between circadian variation in ictus of aneurysmal subarachnoid hemorrhage and physical activity. J. Korean. Neurosurg. Soc. 2019;62(5):519–525. doi: 10.3340/jkns.2019.0061
  3. Abe T., Ohde S., Ishimatsu S. et al. Effects of meteorological factors on the onset of subarachnoid hemorrhage: a time-series analysis. J. Clin. Neurosci. 2008;15(9):1005–1010. doi: 10.1016/j.jocn.2007.07.081
  4. Bano-Ruiz E., Abarca-Olivas J., Duart-Clemente J.M. et al. Influence of the atmospheric pressure and other variable weather on the incidence of the subarachnoid hemorrhage. Neurocirugia (Astur). 2010;21(1):14–21.
  5. Beseoglu K., Hänggi D., Stummer W. et al. Dependence of subarachnoid hemorrhage on climate conditions: a systematic meteorological analysis from the Dusseldorf metropolitan area. Neurosurgery. 2008;62(5):1033–1038. doi: 10.1227/01.neu.0000325864.91584.c7
  6. Cao Y., Wang X., Zheng D. et al. Air pressure, humidity and stroke occurrence: a systematic review and meta-analysis. Int. J. Environ. Res. Public Health. 2016;13(7):675. doi: 10.3390/ijerph13070675
  7. de Steenhuijsen Piters W.A.A., Algra A., van den Broek M.F.M. et al. Seasonal and meteorological determinants of aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. J. Neurol. 2013;260(2):614–619. doi: 10.1007/s00415-012-6687-z
  8. Hughes M.A., Grover P.J., Butler C.R. et al. A 5-year retrospective study assessing the association between seasonal and meteorological change and incidence of aneurysmal subarachnoid haemorrhage. Br. J. Neurosurg. 2010;24(4):396–400. doi: 10.3109/02688697.2010.499154
  9. Illy E., Gerss J., Fischer B.R. et al. Influence of meteorological conditions on the incidence of chronic subdural haematoma, subarachnoid and intracerebral haemorrhages — the “Bleeding Weather Hypothesis”. Turk. Neurosurg. 2020;30(6):892–898. doi: 10.5137/1019-5149.JTN.29821-20.2
  10. Inagawa T. Seasonal variation in the incidence of aneurysmal subarachnoid hemorrhage in hospital- and community-based studies. J. Neurosurg. 2002;96(3):497–509. doi: 10.3171/jns.2002.96.3.0497
  11. Ishihara H., Kunitsugu I., Nomura S. et al. Seasonal variation in the incidence of aneurysmal subarachnoid hemorrhage associated with age and gender: 20-year results from the Yamaguchi cerebral aneurysm registry. Neuroepidemiology. 2013;41(1):7–12. doi: 10.1159/000345247
  12. Kellogg M., Petrov D., Agarwal N. et al. Effects of meteorological variables on the incidence of rupture of intracranial aneurysms in Central New Jersey. J. Neurol. Surg. A Cent. Eur. Neurosurg. 2017;78(3):238–244. doi: 10.1055/s-0036-1594308
  13. Kockler M., Schlattmann P., Walther M. et al. Weather conditions associated with subarachnoid hemorrhage: a multicenter case-crossover study. BMC Neurol. 2021;21(1):283. doi: 10.1186/s12883-021-02312-7
  14. Li M., Hu S., Yu N. et al. Association between meteorological factors and the rupture of intracranial aneurysms. J. Am. Heart. Assoc. 2019;8(17):e012205. doi: 10.1161/JAHA.119.012205
  15. Neidert M.C., Sprenger M., Wernli H. et al. Meteorological influences on the incidence of aneurysmal subarachnoid hemorrhage — a single center study of 511 patients. PLoS One. 2013;8(12):e81621. doi: 10.1371/journal.pone.0081621
  16. Nyquist P.A., Brown Jr R.D., Wiebers D.O. et al. Circadian and seasonal occurrence of subarachnoid and intracerebral hemorrhage. Neurology. 2001;56(2):190–193. doi: 10.1212/wnl.56.2.190
  17. Shigematsu K., Watanabe Y., Nakano H. et al. Weekly variations of stroke occurrence: an observational cohort study based on the Kyoto Stroke Registry, Japan. BMJ Open. 2015;5(3):e006294. doi: 10.1136/bmjopen-2014-006294
  18. Slatina E., Music M., Babic N. et al. Correlation of barometer pressure and incidence of cerebrovascular insult. Mater. Sociomed. 2012;24(4):232–237. doi: 10.5455/msm.2012.24.232-237
  19. Sloan M.A., Price T.R., Foulkes M.A. Circadian rhythmicity of stroke onset. Intracerebral and subarachnoid hemorrhage. Stroke. 1992;23(10):1420–1426. doi: 10.1161/01.str.23.10.1420
  20. Temes R.E., Bleck Th., Dugar S. et al. Circadian variation in ictus of aneurysmal subarachnoid hemorrhage. Neurocrit. Care. 2012;16(2):219–223. doi: 10.1007/s12028-011-9640-6
  21. Turin T.Ch., Kita Y., Rumana N. et al. Diurnal variation in onset of hemorrhagic stroke is independent of risk factor status: Takashima Stroke Registry. Neuroepidemiology. 2010;34(1):25–33. doi: 10.1159/000255463
  22. Huang Q., Lin S.W., Hu W.P. et al. Meteorological variation is a predisposing factor for aneurismal subarachnoid hemorrhage: a 5-year multicenter study in Fuzhou, China. World Neurosurg. 2019;132:687–695. doi: 10.1016/j.wneu.2019.08.048
  23. Lejeune J.P., Vinchon M., Amouyel P. et al. Association of occurrence of aneurysmal bleeding with meteorologic variations in the north of France. Stroke. 2004;25:338–341. doi: 10.1161/01.str.25.2.338
  24. Muroi C., Yonekawa Y., Khan N. et al. Seasonal variations in hospital admissions due to aneurysmal subarachnoid haemorrhage in the state of Zurich, Switzerland. Acta Neurochir. (Wien). 2004;146(7):659–665. doi: 10.1007/s00701-004-0278-4
  25. van Donkelaar C.E., Potgieser A.R.E., Groen H. et al. Atmospheric pressure variation is a delayed trigger for aneurysmal subarachnoid hemorrhage. World Neurosurg. 2018;112:783–790. doi: 10.1016/j.wneu.2018.01.155
  26. Wang H., Sekine M., Chen X. et al. A study of weekly and seasonal variation of stroke onset. Int. J. Biometeorol. 2002;7(1):13–20. doi: 10.1007/s00484-002-0147-x
  27. Lai P.M., Dasenbrock H., Du R. The association between meteorological parameters and aneurysmal subarachnoid hemorrhage: a nationwide analysis. PLoS One. 2014;9(11):e112961. doi: 10.1371/journal.pone.0112961
  28. van Donkelaar C.E., Potgieser A.R.E., Groen H. et al. Atmospheric pressure variation is a delayed trigger for aneurysmal subarachnoid hemorrhage. World Neurosurg. 2018;112:783–790. doi: 10.1016/j.wneu.2018.01.155
  29. McDonald R.J., McDonald J.S., Bida J.P. et al. Subarachnoid hemorrhage incidence in the United States does not vary with season or temperature. AJNR Am. J. Neuroradiol. 2012;33(9):1663–1668. doi: 10.3174/ajnr.A3059
  30. Vermeer S.E., Rinkel G.J., Algra A. et al. Circadian fluctuations in onset of subarachnoid hemorrhage. New data on aneurysmal and perimesencephalic hemorrhage and a systematic review. Stroke. 1997;28(4):805–808. doi: 10.1161/01.str.28.4.805

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2023 Shnyakin P.G., Kazadaeva I.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies