Hemorrhagic stroke differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differential diagnosis

Disease	Findings
Ischemic stroke	Occurs when a clot or a mass clogs a blood vessel and cutting off the blood flow to brain cells May present as a thrombotic (thrombus develops at the clogged part of the vessel)or embolic strokes (blood clot that forms at another locations usually the heart and large arteries of the upper chest and neck, and travels to the brain) Urgent evaluation with brain / neurovascular imaging (such as MRI, CT, CTA, MRA), cardiac, and metabolic evaluation is often necessary
transient ischemic attack (TIA)	Caused by a temporary clot which often called a “mini stroke” Occurs rapidly and presents as a sudden onset of a focal neurologic symptom / sign lasting less than 24 hours Urgent evaluation with brain / neurovascular imaging (such as MRI, CT, CTA, MRA), cardiac, and metabolic evaluation is often necessary
Acute hypertensive crisis
Sentinel headache
Sinusitis
Primary thunderclap headache
Pituitary apoplexy
Cerebral venous thrombosis
Colloid cyst of the third ventricle
Cervical artery dissection
Spontaneous intracranial hypotension

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