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Abstract The non-contrast CT is the most readily available tool providing rapid feedback and is thus commonly used in emergency departments. It is thought to be nearly 100% sensitive for detecting clinically relevant acute hemorrhages. Moreover, it may elucidate hematoma location and expansion and the presence of edema. MRIs are most frequently utilized as follow-up investigations to identify secondary causes of ICH, such as arterio-venous malformation (AVM), amyloid angiopathy, or associated neoplasm. Chronic hypertension produces a small vessel vasculopathy characterized by lipohyalinosis, fibrinoid necrosis, and development of charcotBouchard aneurysms, affecting penetrating arteries throughout the brain including lenticulostriates, thalamoperforators, paramedian branches of the basilar artery, superior cerebellar arteries, and anterior inferior cerebellar arteries The aim of this essay is to discuss recent knowledge and evidence based studies regarding critical care management of intra cerebral hemorrhage. |