In some cases, no cause can be found. Both cerebral edema and the presence of a hematoma within the brain will put increasing pressure on the tissues of the brain and destroy those tissues. Symptoms will vary depending on the extent of damage and the location of the bleed. Symptoms Symptoms vary depending on the location of the bleed and the amount of brain tissue affected.
Symptoms usually develop suddenly, without warning, often during activity.
The specific pattern of symptoms and function changes may indicate the location of the lobar intracerebral hemorrhage. Eye examination may show swelling of the optic nerve from increased pressure in the brain, or there may be changes in eye movement. Abnormal reflexes may be present, or there may be abnormal extent of normal reflexes. The treatment is variable depending on the specific location, extent, and cause of the bleeding. Treatment goals may also include supportive measures or control of symptoms.