This chapter presents the diagnostic tests and principles of management for intracerebral hemorrhage (ICH), subdural hematoma (SDH) and extradural hemorrhage (EDH). ICH is twice as common as subarachnoid hemorrhage (SAH) and more likely to result in death or major disability. Cerebrovascular disease (CVD) is the most commonly identified antecedent of epilepsy in adults, accounting for 11% of cases. Intracerebral hemorrhage is the most lethal form of stroke and is a medical emergency. Prompt imaging studies are required because clinical presentation alone is insufficient to differentiate ICH from stroke due to other causes. Scanning with computed tomography (CT) and magnetic resonance imaging (MRI) are first-choice options. Catheter-directed or minimally invasive endoscopic surgery for clot evacuation using tissue-type plasminogen activator may hold promise in selected patients. Retrospective studies of small numbers of patients conclude that the routine use of prophylactic anticonvulsants is of no benefit after clipping or coil embolization.