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Ege University. School of Mediane, Department of Neurosurgery, Bornova – Izmir/ Türkiye Intracerebral haemorrhage as a complication of thrombolytic therapy for myocardial infarction is infrequent, but it is associated with grave prognosis. We report on a patient who had an intracerebral haemorrhage as a complication of thrombolytic treatment and advocate the CT guided free-hand removal of the haematoma rather than craniotomy in these kinds of complicated cases. Keywords : Cerebral haemorrhage, Myocardial infarction, Plasminogen, Streptokinase, Thrombolytic therapy, Urokinase