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QJM Advance Access published online on October 19, 2007
QJM, doi:10.1093/qjmed/hcm093
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© The Author 2007. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Intracerebral haemorrhage revisited

C.J. Dickinson

From the Wolfson Institute of Preventive Medicine, Queen Mary, University of London, London, UK

Address correspondence to Professor C.J. Dickinson, Wolfson Institute, Queen Mary (University of London), Charterhouse Square, London EC1M 6BQ, UK. email: c.j.dickinson{at}qmul.ac.uk


  Abstract

Much evidence suggests that acute intracerebral haemorrhage usually starts to appear an hour or two after a thromboembolic brain infarct. Intravenous thrombolytic treatment is accepted treatment for acute ischaemic stroke; but all neurologists concur that brain imaging should be performed first, so that thrombolysis can be avoided if bleeding has already started. This article calls into question the current guidelines for the use of thrombolytic treatment in acute stroke. Are they too restrictive?


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