Case challenge · Neurology / Emergency / Neurosurgery · teaching

Spontaneous Intracerebral Hemorrhage — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2022 AHA/ASA

Case #1Neurology / Emergency / Neurosurgery

📋 Case data

Confirm · anticoagulation-related?Not anticoagulation-related
Stratify by SBPSBP >220 or large / surgical

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 2 · Confirm · anticoagulation-related?

Non-contrast CT confirms spontaneous ICH — is it anticoagulation/antithrombotic-related?

💡 Urgent non-contrast head CT confirms; check CBC, coagulation (PT/APTT/INR) and platelets to clarify anticoagulation or coagulopathy. Concurrently control BP, neuro monitoring, admit to stroke unit/neuro ICU.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.