{
  "abstract": "The decision to resume anticoagulation after intracerebral haemorrhage is a major clinical challenge, with current evidence offering limited guidance on balancing thrombotic and haemorrhagic risks. We present a case that highlights the intersection of multiple rare but clinically significant conditions against a background of prothrombotic risk. The patient’s course exemplifies the complex interplay between thrombosis and bleeding and the therapeutic dilemmas surrounding the timing and choice of anticoagulation. Current evidence, derived largely from observational cohorts and small randomised trials, supports a reduction in ischaemic events with anticoagulation but consistently demonstrates increased haemorrhagic risk, with limited advice on how best to individualise decisions. This case underscores the importance of multidisciplinary management, shared decision-making and the pressing need for personalised strategies in navigating anticoagulation after intracerebral haemorrhage.",
  "authors": [
    {
      "affiliations": [
        "Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, NSW, Australia",
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia"
      ],
      "name": "Onur Tanglay"
    },
    {
      "affiliations": [
        "Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, NSW, Australia",
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia",
        "Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"
      ],
      "name": "Dennis Cordato"
    },
    {
      "affiliations": [
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia",
        "Department of Haematology, Liverpool Hospital, Sydney, NSW, Australia"
      ],
      "name": "Sara Ng"
    },
    {
      "affiliations": [
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia",
        "Department of Haematology, Liverpool Hospital, Sydney, NSW, Australia"
      ],
      "name": "Danny Hsu"
    },
    {
      "affiliations": [
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia",
        "Department of Respiratory and Sleep Medicine, Liverpool Hospital, Sydney, NSW, Australia"
      ],
      "name": "Zinta Harrington"
    },
    {
      "affiliations": [
        "Department of Neurology and Neurophysiology, Liverpool Hospital, Sydney, NSW, Australia",
        "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia",
        "Ingham Institute for Applied Medical Research, Sydney, NSW, Australia"
      ],
      "name": "Cecilia Cappelen-Smith"
    }
  ],
  "title": "Anticoagulation after intracerebral haemorrhage: individualised management in a complex prothrombotic setting",
  "uid": "0c1edab7-9d25-5bb0-a4ae-a3d4b7fa070e"
}