Eye examination may show swelling of the optic nerve from pressure in the brain, or there may be changes in eye movement. Abnormal reflexes may be present, or there may be abnormal levels of normal reflexes. Deep intracerebral hemorrhage is a severe condition requiring prompt medical attention even if symptoms are episodic or progressive. It may develop quickly into a life-threatening situation. Treatment goals include lifesaving interventions, life support measures, and control of symptoms.
Treatment varies depending on the specific location, extent, and cause of the bleeding .
Surgical removal of hematomas may be appropriate, especially if there is a hematoma in the cerebellum. Medicines used may include corticosteroids or diuretics to reduce swelling , anticonvulsants to control seizures , analgesics to control pain, or others. Other treatments may be recommended depending on the condition of the person and the symptoms which develop. The outcome is highly variable. Death may occur rapidly despite prompt medical treatment.