ELAPSS Score (aneurysm growth risk)

ELAPSS score for unruptured-aneurysm growth: earlier SAH, location, age, population, size and shape mapped to 3- and 5-year growth risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Earlier subarachnoid hemorrhage
No
Location of aneurysm
PCOM / posterior circulation (+5)
Age
72 years
Population
Finland (+7)
Aneurysm size
12 mm
Irregular shape
Yes

Result: ELAPSS 40/40: aneurysm growth risk ~42.7% at 3 years, ~60.8% at 5 years.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Risk
3-/5-year growth risk rises from about 5.0%/8.4% below 5 points to about 42.7%/60.8% at 25 or more.

What you enter

  • Earlier subarachnoid hemorrhage
  • Location of aneurysm
  • Age
  • Population
  • Aneurysm size
  • Irregular shape (+4)
How this is calculated
Components
Earlier SAH (no +1), Location (MCA +3, PCOM/posterior +5), Age (+1 per 5-yr band above 60), Population (Japan +1, Finland +7), Size (+4/+10/+13/+22 by band), Shape (irregular +4); range 0-40.

Backes D, Rinkel GJE, Greving JP, et al. ELAPSS score for prediction of risk of growth of unruptured intracranial aneurysms. Neurology. 2017;88(17):1600-1606. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.