ABSTRACT
This chapter presents a case study of a 50-year-old male who is presented with confusion. This is a case of a stroke. The patient should be stabilised from an 'ABCDE' standpoint, and a computed tomography (CT) brain scan should be obtained as soon as possible. Stroke mimics should also be ruled out along the way, but this should not impede a stroke workup. The CT brain scan shows a hyperdense mass lesion in the right putamen, a classic finding of a hypertensive stroke. One of the earliest interventions that should be initiated is strict blood pressure control. This is to minimise the risk of rebleeding. Surgical evacuation of intracranial haemorrhage has been studied previously without strong evidence showing benefit over medically managed patients in terms of mortality and functional outcome. Several trials are ongoing to investigate the utility of a minimally invasive approach to surgically evacuate the haematoma.
