Glioma growth is mostly accompanied by vascular hyperplasia, especially for grade 3 or 4 high-grade glioma, which grows faster and has obvious vascular hyperplasia, and it is easy to rupture and bleed in the process of growth. If atypical cerebral hemorrhage is found and tumor is suspected, an enhanced MRI should be done immediately. For most glioma combined with hemorrhage, MRI can make a clear diagnosis and differentiation. After glioma combined with hemorrhage, the preferred treatment is surgical resection if possible, to clarify the nature of the tumor, remove the hematoma, try to save life and neurological function, and choose the appropriate treatment plan after surgery.