Intracerebral hemorrhage (ICH) has a high mortality rate, with only 25% of survivors being independent after 6 months. The majority of ICH cases occur spontaneously due to ruptured blood vessels damaged by hypertension and amyloid angiopathy. Management focuses on preventing hematoma expansion and minimizing cerebral ischemia. Blood pressure control is important for reducing hematoma growth and improving outcomes, with guidelines recommending keeping systolic BP below 160 and mean arterial pressure below 110 while monitoring closely.