Hawash, A., El-Rweny, M. (2025). Abstract: Enhancing Neurocritical Care with Artificial Intelligence: A Case Study Utilizing ChatGPT in the Management of Subarachnoid and Intracerebral Hemorrhage. Accepted abstract in the 1st International conference of biomedical informatics and medical statistics: paving the way for research Excellence, 17th February 2025.. Journal of the Medical Research Institute, 46(1), 62-62. doi: 10.21608/jmalexu.2025.424775
Ahmed Mohammed Hawash; Mohammed Rabei El-Rweny. "Abstract: Enhancing Neurocritical Care with Artificial Intelligence: A Case Study Utilizing ChatGPT in the Management of Subarachnoid and Intracerebral Hemorrhage. Accepted abstract in the 1st International conference of biomedical informatics and medical statistics: paving the way for research Excellence, 17th February 2025.". Journal of the Medical Research Institute, 46, 1, 2025, 62-62. doi: 10.21608/jmalexu.2025.424775
Hawash, A., El-Rweny, M. (2025). 'Abstract: Enhancing Neurocritical Care with Artificial Intelligence: A Case Study Utilizing ChatGPT in the Management of Subarachnoid and Intracerebral Hemorrhage. Accepted abstract in the 1st International conference of biomedical informatics and medical statistics: paving the way for research Excellence, 17th February 2025.', Journal of the Medical Research Institute, 46(1), pp. 62-62. doi: 10.21608/jmalexu.2025.424775
Hawash, A., El-Rweny, M. Abstract: Enhancing Neurocritical Care with Artificial Intelligence: A Case Study Utilizing ChatGPT in the Management of Subarachnoid and Intracerebral Hemorrhage. Accepted abstract in the 1st International conference of biomedical informatics and medical statistics: paving the way for research Excellence, 17th February 2025.. Journal of the Medical Research Institute, 2025; 46(1): 62-62. doi: 10.21608/jmalexu.2025.424775
Abstract: Enhancing Neurocritical Care with Artificial Intelligence: A Case Study Utilizing ChatGPT in the Management of Subarachnoid and Intracerebral Hemorrhage. Accepted abstract in the 1st International conference of biomedical informatics and medical statistics: paving the way for research Excellence, 17th February 2025.
1Lecturer and Consultant of Critical Care, Faculty of Medicine, Alexandria University, Egypt
2Resident of Critical Care, Alexandria University Hospitals, Egypt
Abstract
Background: Subarachnoid hemorrhage (SAH) from a ruptured middle cerebral artery (MCA) aneurysm carries high morbidity and mortality, necessitating prompt, evidence-based interventions. Artificial intelligence (AI) tools like ChatGPT offer rapid access to guidelines and expert recommendations, potentially optimizing neurocritical care. Objective: This study evaluates the role of ChatGPT in the management of a 55-year-old female with SAH and intracerebral hemorrhage (ICH), assessing its impact on treatment efficacy, clinician workload, and patient outcomes. Case Presentation: The patient presented with sudden severe headache, disorientation, nausea, and vomiting. CT imaging confirmed SAH and left ICH due to a ruptured MCA aneurysm. With a Glasgow Coma Scale (GCS) of 7/15, she was intubated and underwent aneurysm clipping. In the ICU, ChatGPT was used to supplement decision-making on: Blood pressure control, osmotherapy, and sedation for intracranial hypertension. Prophylaxis against delayed cerebral ischemia, pneumonia, and deep vein thrombosis. Antibiotic selection, fever management, and nutritional support. Results: With multidisciplinary management augmented by ChatGPT, the patient achieved significant recovery, improving to GCS 14/15 at discharge after 21 ICU days. The AI tool facilitated adherence to best practices, reducing errors and enhancing workflow efficiency. Discussion & Conclusion: ChatGPT provided reliable, evidence-based recommendations, complementing clinical expertise without replacing judgment. While challenges remain in AI integration, this case underscores its potential in neurocritical care. Future advancements in AI-driven real-time analytics and personalized medicine could further revolutionize patient management.