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Types of Stroke: The Mechanisms, Causes, and Signs of Onset for Ischemic Stroke (Infarction), Intracerebral Hemorrhage, and Subarachnoid Hemorrhage

Stroke is largely categorized into three types: Cerebral Infarction (Ischemic Stroke), Intracerebral Hemorrhage, and Subarachnoid Hemorrhage. Each possesses distinct mechanisms and treatment approaches. While Cerebral Infarction (approx. 70–75%), where a vessel is blocked, is the most common in Japan, Intracerebral Hemorrhage (vessel rupture) and Subarachnoid Hemorrhage (aneurysm rupture) have high fatality rates and are characterized by greater urgency.
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What is a Stroke? The Difference Between the Two Major Types (Infarction/Hemorrhage), Recognizing the Sudden FAST Signs, and Life-Saving Prevention and Emergency Response

Stroke is the leading cause of the need for long-term care in Japan, affecting over 100,000 people annually. It is divided into two major types: Cerebral Infarction (ischemic stroke, 70–80%), where a blood vessel in the brain is blocked, and Intracerebral Hemorrhage or Subarachnoid Hemorrhage (20–30%), where a blood vessel ruptures. The response immediately after onset for either type significantly influences the rest of the patient's life.
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Insurance Payouts for Subarachnoid Hemorrhage (SAH): Benefits and Enrollment for Medical and Life Insurance (Current as of 2025)

Subarachnoid Hemorrhage (SAH), classified as a type of "stroke," is covered by medical and life insurance policies. It is particularly advantageous if the policy includes a rider for Critical Illnesses (Cancer, Acute Myocardial Infarction, and Stroke). The benefit amount varies based on the contract details (daily hospitalization benefit, surgical payout, and riders). The average hospital stay is 2–4 months (approx. 60–120 days). You can reduce the financial burden by combining the payout with the public health insurance's High-Cost Medical Care Benefits (monthly cap ≈¥80,000). Below are typical benefit examples and precautions. For actual amounts, consult your policy or insurance company.
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Treatment Costs and Medical Fees for Subarachnoid Hemorrhage (SAH): Out-of-Pocket Expenses for Coiling/Clipping and Utilizing the High-Cost Medical Care Program

Subarachnoid Hemorrhage (SAH) requires advanced, time-sensitive treatments like Coil Embolization and Clipping Surgery, leading to total medical costs potentially reaching several million yen. This financial aspect can be a significant source of anxiety for patients and their families.
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Hospital Stay Duration for Subarachnoid Hemorrhage (SAH): Realistic Estimates—Schedule by Treatment Method and Severity, From 2 Weeks for Mild Cases to 10 Months for Severe Cases

Subarachnoid Hemorrhage (SAH) requires emergency surgery, but the subsequent length of hospitalization varies greatly depending on the treatment method and severity. Notably, as of 2025, the shift to Coil Embolization (which is less invasive) as the dominant treatment has led to a general trend of shorter hospital stays compared to the past.
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Subarachnoid Hemorrhage (SAH) Rehabilitation: The “Realistic Schedule” Where Memory and Fatigue Recovery Are Key—A Roadmap from Onset to 1 Year and the Latest Science (2025)

Treatment for Subarachnoid Hemorrhage (SAH) does not end with curative surgery for the aneurysm. Subsequent rehabilitation determines the patient's social reintegration and Quality of Life (QOL). Unlike Intracerebral Hemorrhage, rehabilitation after SAH places critical importance on managing higher brain dysfunctions, such as memory impairment and chronic fatigability.
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Sequelae of Subarachnoid Hemorrhage (SAH): The Real Prognosis—70% Can Return to Society! The Hardest Sequela is Memory Loss, How Far Can Latest Treatments (TMS/HAL) Achieve Recovery?

There was a time when surviving Subarachnoid Hemorrhage (SAH) was considered "lucky." However, as of 2025, with appropriate treatment and rehabilitation, it has become a disease where approximately 60% of patients can return to a nearly normal life. Yet, the reality is that many survivors still suffer from less visible residual deficits, such as memory impairment and chronic fatigue.
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Subarachnoid Hemorrhage (SAH) Prevention: Ranking the Methods to “Almost Certainly Prevent” Risk—From Ultimate Smoking Cessation to Coffee Habits

Subarachnoid Hemorrhage (SAH) is an extremely dangerous disease with a high fatality rate upon onset. Fortunately, many actions have been scientifically proven to be effective in prevention. Specifically, "Smoking Cessation" and "Strict Blood Pressure Management" are the most powerful strategies to reduce the risk of SAH by more than half.
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Treatment for Subarachnoid Hemorrhage (SAH): The “Golden Pattern”—Coil Embolization vs. Clipping Surgery and Management of Vasospasm

The treatment of Subarachnoid Hemorrhage (SAH) hinges on completely sealing the ruptured aneurysm within 72 hours of onset. The swiftness of this initial treatment is the single most important factor determining the patient's survival and prognosis, as it prevents the most dangerous complication: re-bleeding.
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Symptoms of Subarachnoid Hemorrhage (SAH): Hyper-Dangerous Signs—From the “Worst Headache” at 1 Minute to Signs of Re-bleeding and Vasospasm

Subarachnoid Hemorrhage (SAH) is an extremely dangerous condition where the subsequent prognosis is often determined within just the first few minutes after onset. The symptoms are dramatic, with the "worst headache ever experienced" appearing in nearly 100% of patients.