Emergency cranial neurosurgery does not need one clock, but many - 01/05/26
Doi : 10.1016/j.neuchi.2026.101817
Fritz Fidel Váscones-Román a, b, c, d, e, ⁎ 
, Samanta Janet Fuentes-Garcia c, d
, Samanta Janet Fuentes-Garcia c, d a Department of Endovascular Neurosurgery and Microneurosurgery, Instituto Nacional de Ciencias Neurológicas, Lima, Peru
b Harvard T.H. Chan School of Public Health, Harvard University, Cambridge, MA, United States
c Faculty of Medicine, Universidad Peruana Cayetano Heredia (UPCH), Lima, Peru
d Váscones’s Lab, Lima, Peru
e Astrocyte, Neurosurgical Research Group, Boston, MA, United States
⁎ Corresponding author at: San Borja Norte 323, San Borja, Lima 15036, Peru. San Borja Norte 323, San Borja Lima 15036 Peru
Highlights |
• | Emergency cranial neurosurgical disorders do not share a single biological clock. |
• | ASDH, aSAH, and cerebellar hemorrhage involve different threats and therapeutic targets. |
• | A universal “time-to-surgery” variable may oversimplify urgency and distort interpretation. |
• | Timing studies should separate diagnosis-to-decision and decision-to-procedure intervals. |
• | A pathology-specific multi-clock framework may improve bedside applicability and research quality. |
Keywords : Emergency cranial neurosurgery, Time-to-surgery, Acute subdural hematoma, Aneurysmal subarachnoid hemorrhage, Cerebellar intracerebral hemorrhage, Decision-to-procedure interval
Plan
© 2026
Elsevier Masson SAS. Tous droits réservés.
Vol 72 - N° 3
Article 101817- mai 2026 Retour au numéro
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