Treatment depends substantially on the type of<unk> . Rapid CT scan and other diagnostic measures are used to determine proper treatment, which may include both medication and surgery. * Tracheal intubation is indicated in people with decreased level of consciousness or other risk of airway obstruction. * IV fluids are given to maintain fluid balance, using isotonic rather than hypotonic fluids. Medication * One review found that antihypertensive therapy to bring down the blood pressure in acute phases appears to improve outcomes. Other reviews found an unclear difference between intensive and less intensive blood pressure control. The American Heart Association and American Stroke Association guidelines in 2015 recommended decreasing the blood pressure to a SBP of 140 mmHg. However, the evidence finds tentative usefulness as of 2015. * Giving Factor VIIa within 4 hours limits the bleeding and formation of a hematoma. However, it also increases the risk of thromboembolism. It thus overall does not result in better outcomes in those without hemophilia. * Frozen plasma, vitamin K, protamine, or platelet transfusions may be given in case of a coagulopathy. Platelets however appear to worsen outcomes in those with spontaneous<unk>  bleeding on antiplatelet medication. * Fosphenytoin or other anticonvulsant is given in case of seizures or lobar hemorrhage. * H2 antagonists or proton pump inhibitors are commonly given for to try to prevent stress ulcers, a condition linked with<unk> . * Corticosteroids, were thought to reduce swelling. However, in large controlled studies, corticosteroids have been found to increase mortality rates and are no longer recommended. Surgery Surgery is required if the hematoma is greater than , if there is a structural vascular lesion or lobar hemorrhage in a young patient. * A catheter may be passed into the brain vasculature to close off or dilate blood vessels, avoiding invasive surgical procedures. * Aspiration by stereotactic surgery or endoscopic drainage may be used in basal ganglia hemorrhages, although successful reports are limited. * A craniectomy may take place, where part of the skull is removed to allow a swelling brain room to expand without being squeezed.
Intracerebral hemorrhage
Stroke
Subarachnoid hemorrhage
Cerebral edema  Cerebral edema  1
Epidural hematoma
Intracranial hemorrhage
Subdural empyema
Brain herniation