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Warfarin-associated intracerebral haemorrhage — PARA MCQ

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HardGeneral Medicine - NeurologyWarfarin-associated intracerebral haemorrhagePARA

A 54-year-old man on warfarin after a mechanical valve has sudden headache and left-sided weakness. INR is 5.8 and CT head shows intracerebral haemorrhage. What is the most important next step?

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Correct answer: C — Urgent reversal of anticoagulation and stroke or neurosurgical specialist escalation

Intracerebral haemorrhage with supratherapeutic warfarin requires emergency anticoagulation reversal and specialist stroke or neurosurgical management.

Reference: NICE NG128: Stroke and TIA; BNF: warfarin reversal