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DOI: 10.1055/s-0045-1809633
Influence of Weather Conditions on the Incidence of SAH
Influência das condições climáticas na incidência de HSAFunding No funding was provided for this research.

Abstract
Introduction
Subarachnoid hemorrhage (SAH) is a clinical condition in which there is bleeding into the subarachnoid space, and it is known that there are modifiable risk factors, such as high blood pressure and smoking. However, specific meteorological conditions, such as temperature and atmospheric pressure, have also been observed to represent a higher risk for this condition.
Objective
The objective of this systematic review was to synthesize the current literature data on the relationship between meteorological factors and the occurrence of SAH.
Methodology
Following PRISMA guidelines, the review investigated the impact of meteorological conditions on the incidence of subarachnoid hemorrhage, with the guiding question: "What is the relationship between climate variations and SAH cases?" through comprehensive searches in academic sources with studies published between 2013 and 2023 in the PubMed and BVS (Virtual Health Library) databases.
Results
The main variables evaluated were daily average temperature, average atmospheric pressure, relative humidity, wind speed, influenza incidence, solar incidence, partial oxygen pressure, seasonal distribution, and seasons of the year.
Conclusion
The study highlighted the influence of meteorological conditions on the occurrence of subarachnoid hemorrhage (SAH), especially in cases of extreme climate variations and high atmospheric pressure.
Resumo
Introdução
A hemorragia subaracnóidea (HSA) é uma condição clínica em que ocorre sangramento para o espaço subaracnóideo, sabe-se que existem fatores de risco modificáveis, como hipertensão arterial e tabagismo. No entanto, também se observou que condições meteorológicas específicas, como temperatura e pressão atmosférica, representam um risco mais elevado para esta condição.
Objetivo
O objetivo desta revisão sistemática foi sintetizar os dados atuais da literatura sobre a relação entre fatores meteorológicos e a ocorrência de HSA.
Metodologia
Seguindo as diretrizes do PRISMA, a revisão investigou o impacto das condições meteorológicas na incidência de hemorragia subaracnóidea, tendo como questão norteadora: "Qual a relação entre as variações climáticas e os casos de HSA?" por meio de buscas abrangentes em fontes acadêmicas com estudos publicados entre 2013 e 2023 nas bases de dados PubMed e BVS (Biblioteca Virtual em Saúde).
Resultados
As principais variantes avaliadas foram a temperatura média diária, pressão atmosférica média, umidade relativa, velocidade do vento, incidência de influenza, incidência solar, pressão parcial de oxigênio, distribuição sazonal e estações do ano.
Conclusão
O estudo destacou a influência das condições meteorológicas na ocorrência de hemorragia subaracnóidea (HSA), principalmente em casos de variações climáticas extremas e elevada pressão atmosférica.
Publication History
Received: 08 April 2024
Accepted: 20 March 2025
Article published online:
16 July 2025
© 2025. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Rabelo NN, Rabelo NN, Brito JS. . Hipertensão intracraniana na Emergência. In: Sociedade Distância, v. 2). Brasileira de Clínica Médica; Lopes AC, Tallo FS, Lopes RD, Vendrame LS, organizadores. PROURGEM Programa de Atualização em Medicina de Urgência e Emergência: Ciclo 12. Porto Alegre: Artmed Panamericana; 2018. . p. 57–97. (Sistema de Educação Continuada a Distância, v. 2).
- 2 Neifert SN, Chapman EK, Martini ML. et al. Aneurysmal Subarachnoid Hemorrhage: the Last Decade. Transl Stroke Res 2021; 12 (03) 428-446
- 3 Kawai K, Nonaka K, Suzuki H, Kirino T, Tamura A. Differential effects of activity and climate on onset of subarachnoid hemorrhage. Neurol Med Chir (Tokyo) 2001; 41 (05) 229-236 , discussion 236–237
- 4 Helsper M, Agarwal A, Aker A. et al. The Subarachnoid Hemorrhage-Weather Myth: A Long-Term Big Data and Deep Learning Analysis. Front Neurol 2021; 12: 653483
- 5 Kockler M, Schlattmann P, Walther M. et al. Weather conditions associated with subarachnoid hemorrhage: a multicenter case-crossover study. BMC Neurol 2021; 21 (01) 283-292
- 6 Illy E, Gerss J, Fischer BR, Stummer W, Brokinkel B, Holling M. Influence of Meteorological Conditions on the Incidence of Chronic Subdural Haematoma, Subarachnoid and Intracerebral Haemorrhages - the “Bleeding Weather Hypothesis”. Turk Neurosurg 2020; 30 (06) 892-898
- 7 van Donkelaar CE, Potgieser ARE, Groen H. et al. Atmospheric Pressure Variation is a Delayed Trigger for Aneurysmal Subarachnoid Hemorrhage. World Neurosurg 2018; 112: e783-e790
- 8 Yao DX, Liu YB, Wu QM, Guo N, Pan F, Yu HL. Temperature decline is a trigger of subarachnoid hemorrhage: case-crossover study with distributed lag model. Eur Rev Med Pharmacol Sci 2020; 24 (10) 5633-5643
- 9 Launey Y, Le Gac G, Le Reste PJ, Gauvrit JY, Morandi X, Seguin P. Role of bioclimate conditions on cerebral aneurysm rupture in the Brittany region of France. Neurochirurgie 2020; 66 (01) 9-15
- 10 Hr D, Praneeth K, Aggarwal A, Gupta SK, Sachdeva N. Seasonal variation and Incidence of rupture of intracranial aneurysm : A prospective study and Literature review. Acta Neurol Taiwan 2022; 31 (03) 137-145
- 11 Vencloviene J, Radisauskas R, Kranciukaite-Butylkiniene D, Tamosiunas A, Vaiciulis V, Rastenyte D. Association between stroke occurrence and changes in atmospheric circulation. BMC Public Health 2021; 21 (01) 42-52
- 12 Li M, Hu S, Yu N, Zhang Y, Luo M. . Association Between Meteorological Factors and the Rupture of Intracranial Aneurysms. Available from: https://www.ahajournals.org/doi/suppl/10.1161/JAHA.119.012205
- 13 Huang Q, Lin SW, Hu WP. et al. Meteorological Variation Is a Predisposing Factor for Aneurismal Subarachnoid Hemorrhage: A 5-Year Multicenter Study in Fuzhou, China. World Neurosurg 2019; 132: e687-e695
- 14 Steiger HJ, Petridis AK, Tortora A. et al. Meteorological factors for subarachnoid hemorrhage in the greater Düsseldorf area revisited: a machine learning approach to predict the probability of admission of patients with subarachnoid hemorrhage. Acta Neurochir (Wien) 2020; 162 (01) 187-195
- 15 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 (03) 238-244
- 16 Han MH, Yi HJ, Ko Y, Kim YS, Lee YJ. Association between hemorrhagic stroke occurrence and meteorological factors and pollutants. BMC Neurol 2016; 16 (01) 59
- 17 Zheng Y, Wang X, Liu J, Zhao F, Zhang J, Feng H. A Community-Based Study of the Correlation of Hemorrhagic Stroke Occurrence with Meteorologic Factors. J Stroke Cerebrovasc Dis 2016; 25 (10) 2323-2330
- 18 Lee S, Guth M. Associations between temperature and hospital admissions for subarachnoid hemorrhage in Korea. Int J Environ Res Public Health 2017; 14 (04) 449-460
- 19 Backes D, Rinkel GJE, Algra A, Vaartjes I, Donker GA, Vergouwen MDI. Increased incidence of subarachnoid hemorrhage during cold temperatures and influenza epidemics. J Neurosurg 2016; 125 (03) 737-745
- 20 Tarnoki AD, Türker A, Tarnoki DL. et al. Relationship between weather conditions and admissions for ischemic stroke and subarachnoid hemorrhage. Croat Med J 2017; 58 (01) 56-62
- 21 Patrice T, Rozec B, Desal H, Blanloeil Y. Oceanic Meteorological Conditions Influence Incidence of Aneurysmal Subarachnoid Hemorrhage. J Stroke Cerebrovasc Dis 2017; 26 (07) 1573-1581
- 22 Lai PMR, Dasenbrock H, Du R. The association between meteorological parameters and aneurysmal subarachnoid hemorrhage: a nationwide analysis. PLoS One 2014; 9 (11) e112961
- 23 Rivera-Lara L, Kowalski RG, Schneider EB, Tamargo RJ, Nyquist P. Elevated relative risk of aneurysmal subarachnoid hemorrhage with colder weather in the mid-Atlantic region. J Clin Neurosci 2015; 22 (10) 1582-1587
- 24 Takumi I, Mishina M, Kominami S. et al. Ambient Temperature Change Increases in Stroke Onset: Analyses Based on the Japanese Regional Metrological Measurements [Internet]. Available from: http://www.nms.ac.jp/jnms/