In patients with hemorrhagic stroke, immediate diagnosis is performed based on symptoms, signs, and brain imaging. Clinical symptoms are likely to worsen during the first 24–72 h after onset, and emergency care should be initiated immediately after establishing the diagnosis. Intracerebral hemorrhage (ICH) can present with general symptoms such as headache, vomiting, and altered consciousness and with focal neurologic deficits according to the ICH location – lobar, basal ganglia, thalamus, cerebellum, and brain stem. Headaches are also the most common symptom in subarachnoid hemorrhage but present with a higher intensity than do headaches caused by intracerebral hemorrhage. In addition, subarachnoid hemorrhage causes altered consciousness, and seizures occur at a higher frequency. In this chapter, the clinical symptoms and signs of hemorrhagic stroke will be discussed in detail.
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