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Stroke Rehabilitation Comparison: Focus on “Body” vs. “Brain”? Recovery Goals, Duration, and Utilization of Latest Technology

Rehabilitation after a stroke is not just about moving paralyzed limbs; it requires optimizing the strategy, start time, and main training content according to the type of stroke (Ischemic Stroke, Intracerebral Hemorrhage, or Subarachnoid Hemorrhage). Notably, "how early you start" is the biggest factor that dramatically changes the patient's life one year later.
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Comparison of Stroke Sequelae: Differences in Paralysis Severity, Cognitive Impairment, and Return-to-Work Rates, and the Symptoms Patients Find Most Distressing

After surviving the acute treatment phase of a stroke, patients and their families face the battle against residual deficits (sequelae). The type and severity of these deficits vary significantly depending on the stroke type—Ischemic Stroke (Infarction), Intracerebral Hemorrhage, or Subarachnoid Hemorrhage—and the recovery processes are distinct for each.
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Comparison of Stroke Treatments: The “Golden Time” That Determines Fate, Surgical Rates, and Main Post-Discharge Medications

The strategy and time limits for stroke treatment—whether for Ischemic Stroke, Intracerebral Hemorrhage, or Subarachnoid Hemorrhage—differ completely, and these differences determine the patient's survival and functional prognosis. Recent advances in treatment have been remarkable; especially for Ischemic Stroke, the advent of thrombectomy has significantly increased cases where residual deficits are drastically reduced.
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Comparing Stroke Symptoms: Tips for Discerning Emergency Levels from the “Strength” and “Description” of Headaches

The speed of onset, intensity of headache, and presentation of paralysis differ critically among the three types of stroke: Ischemic Stroke (vessel blockage), Intracerebral Hemorrhage (vessel rupture), and Subarachnoid Hemorrhage (aneurysm rupture). Knowing these symptom differences provides vital information for doctors to make a rapid diagnosis in an emergency setting where every minute counts.
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Comparison of Stroke Types: Differences Between Ischemic Stroke, Intracerebral Hemorrhage, and Subarachnoid Hemorrhage, and the Critical Emergency Signs

Stroke is categorized into three types: Cerebral Infarction (vessel blockage), Intracerebral Hemorrhage (vessel rupture), and Subarachnoid Hemorrhage (aneurysm rupture). Each has a completely different onset mechanism, typical symptoms, and a distinct "golden hour" for treatment. Intracerebral Hemorrhage and Subarachnoid Hemorrhage, which involve sudden, dramatic symptoms, are particularly associated with high mortality rates.
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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.