How are hemorrhagic from ischemic strokes distinguished

How are hemorrhagic from ischemic strokes distinguished? 

Clinical clues pointing to a hemorrhagic etiology include an early diminished level of consciousness and worsening of symptoms over minutes to hours.

Headache is more common in hemorrhagic stroke and is the cardinal feature of SAH.

Head CT is the most reliable way to distinguish ischemic and hemorrhagic strokes, with acute hemorrhage appearing hyperdense 

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