Profile photo Mervyn Vergouwen

Mervyn Vergouwen

Associate Professor - medical

Strategic program(s):

Biography

Mervyn Vergouwen obtained his PhD degree at the University of Amsterdam / Academic Medical Center in 2009. The title of his PhD was ‘Delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage – the role of coagulation and fibrinolysis’. From 2009-2010 he did a clinical/research stroke fellowship at the University of Toronto, Canada. After his return to the Netherlands, he worked as a postdoc at the Laboratory of Experimental Vascular Medicine at the Academic Medical Center to study the role of microthrombosis in the pathogenesis of delayed cerebral ischemia after subarachnoid hemorrhage in a mouse model. In 2011 he accepted a position as a staff neurologist at the UMC Utrecht and joined Prof. Gabriel Rinkel’s research group on aneurysmal subarachnoid hemorrhage.

His research focuses on unruptured intracranial aneurysms, diagnosis of (aneurysmal) subarachnoid hemorrhage, and brain injury after subarachnoid hemorrhage. This includes all processes that occur in the (sub)acute setting, including the initial hemorrhage and subsequent in-hospital complications (such as rebleeding, delayed cerebral ischemia, hydrocephalus, and infections), and the relationship of these processes with micro- and macrostructural brain injury, disability, and cognitive impairment.

His work was published in >100 publications and to date (December 2018) has been cited >3500 times.

Mervyn Vergouwen is the president-elect of the 15th International Conference on SubArachnoid Hemorrhage (ISAH) 2019 and co-PI of the Prospective Randomized Open-label Trial to Evaluate risk faCTor management in patients with Unruptured intracranial aneurysms (PROTECT-U).

Research line

Unruptured intracranial aneurysms - Subarachnoid hemorrhage

Most recent key publications

1: Backes D, Rinkel GJ, Greving JP, Velthuis BK, Murayama Y, Takao H, Ishibashi T, Igase M, terBrugge KG, Agid R, Jääskeläinen JE, Lindgren AE, Koivisto T, von und zu Fraunberg M, Matsubara S, Moroi J, Wong GK, Abrigo JM, Igase K, Matsumoto K, Wermer MJ, van Walderveen MA, Algra A, Vergouwen MD. The ELAPSS score for prediction of risk of growth of unruptured intracranial aneurysms. Neurology 2017; Mar 31. [Epub ahead of print].

2: Backes D, Rinkel GJ, Laban KG, Algra A, Vergouwen MD. Patient- and aneurysm-specific risk factors for intracranial aneurysm growth - a systematic review and meta-analysis. Stroke 2016;47:951-957.

3: Vergouwen MD, Jong-Tjien-Fa A, Algra A, Rinkel GJ. Time trends in causes of death after aneurysmal subarachnoid hemorrhage: a hospital-based study. Neurology 2016;86:59-63.

4: Etminan N, Brown RD, Beseoglu K, Juvela S, Raymond J, Morita A, Torner JC, Derdeyn CP, Raabe A, Mocco J, Korja M, Abdulazim A, Amin-Hanjani S, Salman RA, Barrow DL, Bederson J, Bonafe A, Dumont A, Fiorella DH, Gruber A, Hankey G, Hasan DM, Hoh BL, Jabbour P, Kasuya H., Kelly ME, Kirkpatrick PJ, Knuckey N, Koivisto T, Krings T, Lawton MT, Marotta TR, Mayer SA, Mee E, Molyneux A, Morgan MK, Mori K, Murayama Y, Nagahiro S, Nakayama N, Niemelä M, Knuckey N, Ogilvy CS, Mendes-Perreira V, Pierot L, Rabinstein AA, Roos YB, Rinne J, Rosenwasser RH, Ronkainen A, Schaller K, Seifert V, Solomon RA, Spears J, Steiger HJ, Vergouwen MD, Wanke I, Wermer MJH, Wong GK, Wong JH, Zipfel GF, Connolly ES, Steinmetz H, Lanzino G, Pasqualin A, Rüfenacht D, LeRoux P, Vajkoczy P, McDougall C, Hänggi D, Rinkel GJ, Macdonald RL. The Unruptured Intracranial Aneurysm Treatment Score: A multidisciplinary consensus. Neurology 2015;85:881-889.  

5: Backes D, Rinkel GJ, van der Schaaf IC, Nij Bijvank JA, Verweij BH, Visser-Meily JM, Post MW, Algra A, Vergouwen MD. Recovery to pre-interventional functioning, return-to-work and life satisfaction after treatment of unruptured aneurysms. Stroke 2015;46:1607-1612.

6: Blok KM, Rinkel GJ, Majoie CB, Hendrikse J, Braaksma M, Tijssen CC, Wong YY, Hofmeijer J, Extercatte J, Kerklaan B, Schreuder TH, ten Holter S, Verheul F, Harlaar L, Pruissen MO, Kwa VI, Brouwers PJ, Remmers MJ, Schonewille WJ, Kruyt ND, Vergouwen MD. CT within 6 hours to rule out subarachnoid hemorrhage in nonacademic hospitals. Neurology 2015;84:1927-1932.

7: Backes D, Vergouwen MD, Velthuis BK, van der Schaaf IC, Bor AS, Algra A, Rinkel GJ. Difference in characteristics between ruptured and unruptured aneurysms in patients with multiple intracranial aneurysms. Stroke 2014;45:1299-1303.

8: Cremers CH, van der Schaaf IC, Wensink E, Greving JP, Rinkel GJ, Velthuis BK, Vergouwen MD. CT perfusion and delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. J Cereb Blood Flow Metab 2014;34:200-207.

9: Backes D, Rinkel GJ, Kemperman H, Linn FH, Vergouwen MD. Time-dependent test characteristics of head CT in patients suspected of non-traumatic subarachnoid hemorrhage. Stroke 2012;43:2115-2119.

10: Diringer MN, Bleck TP, Claude Hemphill J 3rd, Menon D, Shutter L, Vespa P, Bruder N, Connolly ES Jr, Citerio G, Gress D, Hänggi D, Hoh BL, Lanzino G, Le Roux P, Rabinstein A, Schmutzhard E, Stocchetti N, Suarez JI, Treggiari M, Tseng MY, Vergouwen MD, Wolf S, Zipfel G. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care 2011;15:211-240.

11: Vergouwen MD, Vermeulen M, van Gijn J, Rinkel GJ, Wijdicks EF, Muizelaar JP, Mendelow AD, Juvela S, Yonas H, Terbrugge KG, Macdonald RL, Diringer MN, Broderick JP, Dreier JP, Roos YB. Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies - Proposal of a multidisciplinary research group. Stroke 2010;41:2391-2395.

12: Vergouwen MD, Meijers JC, Geskus RB, Coert BA, Horn J, Stroes ES, van der Poll T, Vermeulen M, Roos YB. Biologic effects of simvastatin in patients with aneurysmal subarachnoid hemorrhage - a double-blind, placebo-controlled randomized trial. J Cereb Blood Flow Metab 2009;29:1444-1453.

13: Vergouwen MD, Vermeulen M, Coert BA, Stroes ES, Roos YB. Microthrombosis after aneurysmal subarachnoid hemorrhage - an additional explanation for delayed cerebral ischemia. J Cereb Blood Flow Metab 2008;28:1761-1770.

14: Vergouwen MD, Vermeulen M, Roos YB. Effect of nimodipine on outcome in patients with traumatic subarachnoid haemorrhage - a systematic review. Lancet Neurol 2006;5:1029-1032.

Research groups

Intracranial aneurysms

Research aim

We aim to increase insights in underlying disease processes, improve detection of patients at high risk of developing aneurysms, ameliorate prediction of rupture and treatment risks, and optimize treatment outcomes.

Go to group

Intracranial vasculopathies

Research aim

Our research focusses on the diagnosis, treatment, and prevention of stroke and intracranial vasculopathies, including cerebral small vessel disease and intracranial aneurysms, with the ultimate goal to improve treatment strategies and prognosis.

Go to group

Recent publications

Cost-Effectiveness of Ultra-Early Tranexamic Acid as Add-On to Standard Care After Subarachnoid Hemorrhage (ULTRA Trial) Nadine Denneman, René Post, Rik van Eekelen, Maud A Tjerkstra, Marinus A Kempeneers, Homeyra Labib, Menno R Germans, Mervyn D I Vergouwen, Korne Jellema, Radboud W Koot, Nyika D Kruyt, Jasper F C Wolfs, Dharmin Nanda, Bram Van Der Pol, Gerwin Roks, Frank De Beer, Loes J A Reichman, Paul J A M Brouwers, H Kwa Vincent, Henri P Bienfait, Hieronymus D Boogaarts, Catharina J M Klijn, René van den Berg, Bert A Coert, Janneke Horn, Charles B L M Majoie, Gabriël J E Rinkel, Yvo B W E M Roos, W Peter Vandertop, Dagmar Verbaan,
European Journal of Neurology, 2025, vol. 32, p.e70208
Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage Ilari Rautalin, Victor Volovici, Benjamin A Stark, Catherine O Johnson, Jaakko Kaprio, Miikka Korja, Rita V Krishnamurthi, Balakrishnan Sukumaran Nair, Annemarei Ranta, Gabriel J E Rinkel, Mervyn D I Vergouwen, Yohannes Habtegiorgis Abate, Hedayat Abbastabar, Foad Abd-Allah, Atef Abdelkader, Parsa Abdi, Arash Abdollahi, Auwal Abdullahi, Olugbenga Olusola Abiodun, Richard Gyan Aboagye, Mohamed Abouzid, Dariush Abtahi, Samir Abu Rumeileh, Ahmed Abualhasan, Hasan Abualruz, Hana J Abukhadijah, Ahmed Abu-Zaid, Lawan Hassan Adamu, Isaac Yeboah Addo, Rufus Adesoji Adedoyin, Oyelola A Adegboye, Saryia Adra, Leticia Akua Adzigbli, Williams Agyemang-Duah, Bright Opoku Ahinkorah, Aqeel Ahmad, Danish Ahmad, Amir Mahmoud Ahmadzade, Ali Ahmed, Haroon Ahmed, Syed Anees Ahmed, Budi Aji, Mohammed Ahmed Akkaif, Yazan Al-Ajlouni, Ziyad Al-Aly, Mohammed Albashtawy, Mohammed Usman Ali, Sheikh Mohammad Alif, Netanja I Harlianto, Gbenga A Kayode,
JAMA Neurology, 2025, vol. 82, p.765-787
Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage Jose Javier Provencio, Sonya Inkelas, Mervyn D I Vergouwen
Translational Stroke Research, 2024, vol. 16, p.18-24
Additional Relevant Intracranial Findings in Persons Screened with MR for Intracranial Aneurysms Philippine B van Wijngaarden, Gabriel J E Rinkel, Irene C van der Schaaf, Liselore A Mensing, Ynte M Ruigrok, Mervyn D I Vergouwen
Journal of the Neurological Sciences, 2024, vol. 464
Intracranial arterial calcification in patients with unruptured and ruptured intracranial aneurysms Maarten J Kamphuis, Laura T van der Kamp, Edwin Lette, Gabriel J E Rinkel, Mervyn D I Vergouwen, Irene C van der Schaaf, Pim A de Jong, Ynte M Ruigrok
European Radiology, 2024, vol. 34, p.7517-7525
Ultra-Early and Short-Term Tranexamic Acid Treatment in Patients With Good- and Poor-Grade Aneurysmal Subarachnoid Hemorrhage Maud A. Tjerkstra, René Post, Menno R. Germans, Mervyn D.I. Vergouwen, Korne Jellema, Radboud W. Koot, Nyika D. Kruyt, Jasper F.C. Wolfs, Frits C. De Beer, Hans H. Kieft, Dharmin Nanda, Bram Van Der Pol, Gerwin Roks, Frank De Beer, Loes J.A. Reichman, Paul J.A.M. Brouwers, Vincent I.H. Kwa, Taco C. Van Der Ree, Henri P. Bienfait, Hieronymus D. Boogaarts, Catharina J. Klijn, Victoria Visser, René van den Berg, Bert A. Coert, Janneke Horn, Charles B.L.M. Majoie, Gabriël J.E. Rinkel, Yvo B.W.E.M. Roos, W. Peter Vandertop, Dagmar Verbaan,
Neurology, 2024, vol. 102

Fellowships & Awards

1: Jacob Jongbloed Talent Society (2014)
2: Netherlands Heart Foundation Dr. E. Dekker postdoc personal grant (2011)
3: Niels Stensen award for stroke fellowship in Toronto, Canada (2009)