Evidence map›Paper›PMID 37240207›Full record

ReviewInternational journal of molecular sciences2023

Immunological Profile of Vasospasm after Subarachnoid Hemorrhage.

Michele Romoli, Fabrizio Giammello, Maria Giulia Mosconi, Antonio De Mase, Giovanna De Marco, Anna Digiovanni, Antonio Ciacciarelli, Raffaele Ornello, Benedetta Storti, IAY (Italian Stroke Association—Young Section)

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Observational
  6. Neuroprotective effects of hesperidin on cerebral vasospasm after subarachnoid hemorrhage in rats: an experimental study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  7. Observational
  8. Review
  9. Article
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  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
  17. Review
  18. Article
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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

10 authors at 9 institutions in 1 country.

Michele RomoliNeurology and Stroke Unit, Department of Neuroscience, Bufalini Hospital, 47521 Cesena, Italy.ORCID 0000-0001-8009-8543
Fabrizio GiammelloTranslational Molecular Medicine and Surgery, Department of Biomedical, Dental Science and Morphological and Functional Images, University of Messina, 98122 Messina, Italy.ORCID 0000-0002-2828-1305
Maria Giulia MosconiEmergency and Vascular Medicine, University of Perugia-Santa Maria Della Misericordia Hospital, 06129 Perugia, Italy.
Antonio De MaseNeurology and Stroke Unit, AORN Cardarelli, 80131 Napoli, Italy.
Giovanna De MarcoDepartment of Biomedical and NeuroMotor Sciences of Bologna, University of Bologna, 40126 Bologna, Italy.
Anna DigiovanniDepartment of Neuroscience, Imaging and Clinical Sciences, "G. D'Annunzio" University of Chieti-Pescara, 66013 Chieti, Italy.
Antonio CiacciarelliStroke Unit, Department of Emergency Medicine, University of Roma La Sapienza-Umberto I Hospital, 00161 Rome, Italy.ORCID 0000-0003-3282-4672
Raffaele OrnelloDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Benedetta StortiCerebrovascular Diseases Unit, Department of Clinical Neurosciences, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milano, Italy.ORCID 0000-0001-7836-2122
IAY (Italian Stroke Association—Young Section)
Fondazione IRCCS Istituto Neurologico Carlo Besta · ITOspedale Antonio Cardarelli · ITOspedale “M. Bufalini” di Cesena · ITPoliclinico Umberto I · ITUniversity of Bologna · ITUniversity of Chieti-Pescara · ITUniversity of L'Aquila · ITUniversity of Messina · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subarachnoid hemorrhage (SAH) carries high mortality and disability rates, which are substantially driven by complications. Early brain injury and vasospasm can happen after SAH and are crucial events to prevent and treat to improve prognosis. In recent decades, immunological mechanisms have been implicated in SAH complications, with both innate and adaptive immunity involved in mechanisms of damage after SAH. The purpose of this review is to summarize the immunological profile of vasospasm, highlighting the potential implementation of biomarkers for its prediction and management. Overall, the kinetics of central nervous system (CNS) immune invasion and soluble factors' production critically differs between patients developing vasospasm compared to those not experiencing this complication. In particular, in people developing vasospasm, a neutrophil increase develops in the first minutes to days and pairs with a mild depletion of CD45+ lymphocytes. Cytokine production is boosted early on after SAH, and a steep increase in interleukin-6, metalloproteinase-9 and vascular endothelial growth factor (VEGF) anticipates the development of vasospasm after SAH. We also highlight the role of microglia and the potential influence of genetic polymorphism in the development of vasospasm and SAH-related complications.

Indexed as

Subarachnoid HemorrhageVasospasm, IntracranialHumansNeutrophilsVascular Endothelial Growth Factor AVascular Endothelial Growth FactorsVascular Endothelial Growth Factor AVascular Endothelial Growth Factorsdelayed ischemiaearly brain injurysubarachnoid hemorrhagevasospasm

Identifiers

PMID37240207
PMCPMC10218712
OpenAlexW4377043729

What Socratic 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 Socratic graph.