Review articleThe 100 most influential publications pertaining to intracranial aneurysms and aneurysmal subarachnoid hemorrhage

- The top article was “Surgical Risk as Related to Time of Intervention in Repair of Intracranial Aneurysms” by Hunt et al.
- Dr. Neal F. Kassell was the most prolific author included in the final list.
- Journal of Neurosurgery published the highest number of influential works in the field.
- The final list favors ruptured aneurysms over unruptured aneurysms by a margin of 81-53.

The study of intracranial aneurysms has grown at an astounding rate since Sir Charles Symond's association of hemorrhage within the subarachnoid space to intracranial aneurysms in 1923. These associations led to the first surgical treatment of an intracranial aneurysm with wrapping by Norman Dott in 1931, and shortly thereafter, clip ligation by Walter Dandy in 1938. Surgical outcomes were improved by the introduction of the operative microscope in the 1960s and perioperative care utilizing induced hypertension, hypovolemia, and hemodilution (“HHH therapy”). Recent monumental advancements, such as coil embolization in 1990 by Guglielmi, have continued to advance the field forward. The authors hope to highlight some of the most seminal and influential works. Herein, we utilize the technique of citation analysis to assemble a list of the 100 most influential works pertaining to aneurysmal subarachnoid hemorrhage published between the years 1900 and 2015 to honor these individuals and to provide guidance to current and future researchers in the field. We additionally calculate the effects of author, journal, topic, and study design on the overall influence of publications in this field.