For most patients, the best treatment seems to be high-quality supportive care. Aggressive interventions (e.g., causing dramatic drops in blood pressure and “prophylactic” hypertonic saline) may cause more harm than good.

Cerebellar hematomas may threaten brainstem compression as well as hydrocephalus, so these patients potentially benefit the most from urgent surgical evacuation and/or ventricular drainage.

Steroid doesn’t help ICH. Don’t use steroid in these patients unless there is some other indication.

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