RT Journal Article SR Electronic T1 Acute intracerebral haemorrhage: diagnosis and management JF Practical Neurology JO Pract Neurol FD BMJ Publishing Group Ltd SP 128 OP 136 DO 10.1136/practneurol-2020-002763 VO 21 IS 2 A1 Iain J McGurgan A1 Wendy C Ziai A1 David J Werring A1 Rustam Al-Shahi Salman A1 Adrian R Parry-Jones YR 2021 UL http://pn.bmj.com/content/21/2/128.abstract AB Intracerebral haemorrhage (ICH) accounts for half of the disability-adjusted life years lost due to stroke worldwide. Care pathways for acute stroke result in the rapid identification of ICH, but its acute management can prove challenging because no individual treatment has been shown definitively to improve its outcome. Nonetheless, acute stroke unit care improves outcome after ICH, patients benefit from interventions to prevent complications, acute blood pressure lowering appears safe and might have a modest benefit, and implementing a bundle of high-quality acute care is associated with a greater chance of survival. In this article, we address the important questions that neurologists face in the diagnosis and acute management of ICH, and focus on the supporting evidence and practical delivery for the main acute interventions.