This article includes discussion of basal ganglia hemorrhage and deep intracerebral hemorrhage. The foregoing terms may include synonyms, similar disorders, variations in usage, and abbreviations.Basal ganglia intracerebral hemorrhage remains among the most deadly of stroke types. This update highlights some important clinical trial results on intracerebral hemorrhage, including blood pressure management and surgical interventions. The author discusses these advances and updates on the epidemiology and pathophysiology of intracerebral hemorrhage.