%0 Systematic Review %T Letter to editor: Clinical severity of aneurysmal subarachnoid hemorrhage over time: systematic review. %A Mughal ZUN %A Mughal H %J Neurosurg Rev %V 47 %N 1 %D 2024 Jul 11 %M 38990254 %F 2.8 %R 10.1007/s10143-024-02565-z %X The letter to the editor titled "Clinical severity of aneurysmal subarachnoid hemorrhage over time: systematic review" provides a comprehensive and systematic examination of the changing clinical landscape of aSAH, emphasizing the importance of advancements in medical technology and treatment protocols. The review's methodological rigor ensures reliable findings, highlighting the positive trends in clinical outcomes due to improved diagnostic tools and early interventions. However, potential publication bias and the need for a more detailed analysis of specific medical innovations and regional variations are notable limitations. Despite these, the letter is a valuable contribution, offering insights that could guide future research and improve patient outcomes.