Which Treatment Modality Is More Injurious to the Brain in Patients with Subarachnoid Hemorrhage? Degree of Brain Damage Assessed by Serum S100 Protein after Aneurysm Clipping or Coiling

Abstract

The initial S100 protein value is an independent prognostic factor for poor outcomes in SAH patients. Based on the S100 protein level, aneurysm clipping seems to provoke more brain damage than aneurysm coiling. Endovascular coiling should be considered the first therapeutic option for aneurysmal SAH patients.