Acute & emergency · UKMLA & AKT

Haemorrhagic stroke (intracerebral haemorrhage)

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • Bleeding directly into the brain parenchyma - distinct from subarachnoid haemorrhage (SAH) and extra-axial collections (subdural/extradural)
  • 30-day mortality ~40%; half of deaths within first 48 hours
  • Thrombolysis is absolutely contraindicated - urgent CT head mandatory to distinguish from ischaemic stroke

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