All are true about haemorrhagic stroke except
## **Core Concept**
Haemorrhagic stroke accounts for about 10-15% of all strokes and is characterized by bleeding into or around the brain. This type of stroke is often associated with high morbidity and mortality. The most common causes include hypertension, aneurysms, and arteriovenous malformations.
## **Why the Correct Answer is Right**
The correct answer, although not directly provided, would relate to a statement that does not accurately describe a characteristic or consequence of haemorrhagic stroke. Typically, haemorrhagic strokes are associated with increased intracranial pressure, potential for rebleeding, and a worse prognosis compared to ischemic strokes. A correct statement might involve the association with hypertension or the poorer outcomes.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Without specific details on the options, a common incorrect statement might be that haemorrhagic strokes are more common than ischemic strokes, which is false as ischemic strokes account for about 85% of all strokes.
- **Option B:** If an option suggests that haemorrhagic strokes have a better prognosis than ischemic strokes, this would be incorrect as haemorrhagic strokes generally have a worse prognosis.
- **Option C:** If an option states that hypertension is not a risk factor for haemorrhagic stroke, this would be incorrect as hypertension is a significant risk factor.
- **Option D:** If an option claims that haemorrhagic strokes are typically associated with lower intracranial pressure, this would be incorrect as they often lead to increased intracranial pressure due to the bleeding.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that **hypertension** is both a cause and a consequence of haemorrhagic stroke. Acute management may involve careful blood pressure control to prevent further bleeding while ensuring adequate cerebral perfusion. A classic clinical correlation is the use of the "ABCs" (Airway, Breathing, Circulation) in acute stroke management, with a focus on blood pressure management in haemorrhagic stroke.
## **Correct Answer: D.**