Timing

While SAH does not appear to have a consistent seasonal prevalence,11 some authors have reported an increased incidence in spring and autumn.12,13 Ohno reported a peak seasonal incidence in Japan in the winter months.1417 One third of patients develop SAH while asleep, one third during routine daily activities, and one third during strenuous activity. The International Cooperative Study on Intracranial Aneurysms found that from a statistical standpoint, bending and lifting activities have the highest association with SAH among those activities considered strenuous.10

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