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Haemorrhagic stroke

Haemorrhagia intracerebralis et subarachnoidalis · Hemoragická cévní mozková příhoda

What it is

A vessel bursts inside or around the brain. Fewer cases than clots, far higher death rate.

Symptoms & signs

  • Thunderclap headache
  • vomiting
  • neck stiffness
  • rapid loss of consciousness
  • seizure

🚩 Get help if…

  • call 112 / 911 now Sudden worst-ever headache, peaking within a minute
  • call 112 / 911 now Headache with vomiting, stiff neck or drowsiness
  • call 112 / 911 now Seizure, collapse or loss of consciousness
  • call 112 / 911 now Sudden weakness, numbness or trouble speaking

Where it strikes

Medical treatment

  • Blood-pressure lowering
  • reverse anticoagulation
  • surgical clot removal
  • coiling or clipping of aneurysm
  • external ventricular drain

Natural & lifestyle

  • Strict blood-pressure control
  • no alcohol binges
  • treat cocaine/stimulant use

Emerging & experimental

  • Minimally invasive endoscopic evacuation
  • MISTIE thrombolysis
  • targeted temperature management

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Herbal blood thinners (ginkgo, garlic, fish oil) — dangerous here; stop them anecdotal / traditional
  • Acupuncture during recovery — small trials early / small studies

ICD codes