A patient was admitted to Emergency Department within an hour of an episode of syncope followed by a fall. The electrocardiogram recorded on admission was suggestive of an extensive acute anterior myocardial infarction and an emergency computed tomography (CT) scan of his brain, showed a right scalp hematoma but no intracranial injury. He underwent primary percutaneous coronary intervention (PCI). Ten hours later, the patient reported sudden onset headache and vomiting. Repeated head CT showed left-sided intracranial hemorrhage, which required immediate neurosurgical decompression and reversal of antiplatelet and anticoagulant therapies. Three months later, the intracranial hematoma had been absorbed.
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