What causes headaches as a sequelae of cerebral hemorrhage?

In general, headaches as sequelae of cerebral hemorrhage may be caused by various factors such as stress response, postural changes, increased intracranial pressure, cerebral vasospasm, and hypertension. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician.

1. Stress Response

The stress state following cerebral hemorrhage can lead to elevated levels of adrenaline and cortisol. These substances may directly or indirectly affect pain-processing regions in the brain, resulting in headaches. Psychological interventions such as cognitive behavioral therapy and relaxation training may help reduce the patient's psychological burden.

2. Postural Changes

Increased tension in neck muscles, especially during changes in head position, may overstretch or contract these muscles, pulling on nerves and blood vessels in the head and causing headaches. Physical therapies such as heat application, neck massage, and physiotherapy can help relieve muscle tension in the neck.

3. Increased Intracranial Pressure

Elevated intracranial pressure is primarily caused by space-occupying lesions within the skull. Hematoma mass effect and cerebral edema may increase intracranial pressure, leading to headaches, often accompanied by symptoms such as nausea, vomiting, and blurred vision. Under medical supervision, patients may be treated with medications such as furosemide tablets, dexamethasone tablets, or acetazolamide tablets.

4. Cerebral Vasospasm

Cerebral vasospasm may be triggered by factors such as cold exposure or trauma, reducing cerebral blood flow and causing ischemia and hypoxia in brain tissue, which stimulates pain-sensitive nerve fibers and results in headache. This condition is usually accompanied by dizziness, fatigue, and memory decline. Patients are advised to take medications such as flunarizine hydrochloride capsules, nimodipine tablets, or enteric-coated aspirin tablets under the guidance of a physician to alleviate symptoms.

5. Hypertension

Hypertension is generally associated with dietary habits, mental stress, and other factors. It increases the burden on cerebral blood vessels, leading to vascular wall damage and inflammatory responses, which may trigger headaches. Symptoms such as dizziness and palpitations may also occur. Patients may take nifedipine tablets, amlodipine besylate tablets, or ramipril tablets as directed by their doctor to relieve symptoms.

Maintaining a healthy lifestyle, eating a light diet, and ensuring adequate sleep and rest are important for supporting recovery.