Non-traumatic cerebral hemorrhage, also known as spontaneous cerebral hemorrhage, is commonly caused by hypertension, which is the most common causative agent of spontaneous cerebral hemorrhage. Long-term hypertension can lead to sclerosis, vitreous degeneration, and increased vascular fragility in the patient’s intracranial vessels, which can easily bleed in the presence of increased blood pressure. There are also intracranial aneurysms, arteriovenous malformations, cavernous hemangiomas, smog and other vascular malformations that cause bleeding, while tumor strokes from malignant tumors can also cause spontaneous cerebral hemorrhage. For spontaneous cerebral hemorrhage, the first thing to do is to perform a cranial CTA examination to clarify whether there are vascular malformations and tumors in the skull. If vascular malformations and tumors are excluded, hypertensive cerebral hemorrhage is considered, and conservative treatment or surgery is needed according to the amount of bleeding. If intracranial vascular malformation or aneurysm is found in the head CTA examination, cranial aneurysm clamping or vascular malformation resection should be performed, while for intracranial tumor, hematoma removal plus tumor resection should be performed.