When you get a headache, you probably take aspirin and
try to shrug it off. But sometimes headaches are warning signs of something
much more serious — a stroke, a condition that’s similar to a heart attack but
affects the brain. More than 795,000 people in the US suffer from a
stroke every year, and of those, about 130,000 die from it. According to one
survey, while 60% of people knew that severe headache with no known cause could
signal stroke, only 38% of people could recognize all the major symptoms and
knew to call 9-1-1 right away.
Unfortunately, knowing when your headache spells
trouble can be difficult. There are generally two types of stroke
Type One: Ischemic
(Blockage-Type Brain Attack)
What it is: About 85% of strokes are ischemic, which occur when a blockage prevents a blood
vessel from providing blood to the brain.
Headache symptoms: Most ischemic strokes don’t cause
headaches. But some types, such as arterial dissections (blockage
in an artery supplying the brain) and cerebral venous sinus thrombosis
(blockage in veins draining blood from the brain), can produce a splitting
headache. Sometimes
people with headaches due to arterial dissections also have teary eyes on one
side, as well as weakness or numbness on the side of their body opposite
the headache,
People with headaches due to
venous sinus thrombosis may also have blurry vision and/or seizures.
Type Two: Hemorrhagic
(a.k.a. Bleeding-Type Brain Attack, or Brain Bleed): There are two types of hemorrhagic strokes: subarachnoid and intracerebral.
An intracerebral
hemorrhagic stroke, which accounts for around 12% of all brain
attacks, occurs when a weakened blood vessel or aneurysm bursts, causing a
brain bleed. Hypertension is the most common risk factor for an intracerebral
hemorrhagic stroke.
A subarachnoid
hemorrhagic stroke occurs when a bulge in a blood vessel (a.k.a
aneurysm) within the covering layers of the brain ruptures, causing bleeding in
the space surrounding the brain. While subarachnoid hemorrhagic strokes are
less common, accounting for around 3% of all brain attacks, their results are
often devastating. Janardhan says about 10% of people suffering from a brain
bleed die immediately, and of the remaining 90% who make it to the ER, about
half will die within 30 days.
Headache symptoms: An intracerebral hemorrhage, which most
often occurs in people with high blood pressure or less frequently from an
underlying vascular malformation (AVM), causes sudden, severe headaches. People
with subarachnoid hemorrhagic strokes often complain of suddenly experiencing
the worst headache of their lives. “I’ve had patients say that the headache
associated with a
ruptured brain aneurysm feels like something is erupting in their head and is a headache unlike
anything they’ve ever experienced,”
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