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00:00 - Intro 00:38 - Case 02:11 - Lesion localization 03:25 - Early differential diagnosis 05:44 - Confirming hemorrhage: The head CT 06:50 - Primary goal of hemorrhagic stroke management 07:31 - Preventing secondary injury. 08:57 - Causes of intracerebral hemorrhage 12:12 - Small vessel disease 13:11 - Vasculopathy 14:21 - Arteriovenous malformation 15:13 - Hemorrhagic neoplasm 16:31 - Hemorrhagic stroke risk by mechanism 18:23 - Back to our patient 19:51 - Learning points This video is intended for medical students on clinical rotation to understand an approach to a patient presenting with acute intracerebral hemorrhage. We discuss the early management and the differential diagnosis of intracerebral hemorrhage. Created by: Igor Rybinnik MD Produced and narrated by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Images adapted from, and redrawn whenever possible: Blumenfeld H. Neuroanatomy Through Clinical Cases, 2nd ed. Sinauer Associates, 2010. Derdeyn CP, et al. Stroke 2017;48:e200-24 Solomon RA, Connolly ER. NEJM 2017;376:1859-66 Sound effects: Who Wants to Be a Millionaire. ABC, 2015-2019 Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation when appropriate. Also, the opinions expressed in this talk do not necessarily reflect those of Rutgers Robert Wood Johnson Medical school or Rutgers University as a whole.