The specific pattern of symptoms and function changes may indicate the location of the intracerebral hemorrhage. Eye examination may show optic nerve swelling from increased pressure in the brain, or there may be changes in eye movement. Abnormal reflexes may be present, or there may be an abnormal extent of normal reflexes. It may develop quickly into a life-threatening situation. Treatment goals include lifesaving interventions, supportive 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. Blood, blood products, intravenous fluids, or medications may be appropriate to counteract bleeding and loss of blood volume. Other treatments may be appropriate. The outcome varies highly.