<b>Bleeding Brain Intraparenchymal</b> Despite the diagnostic and therapeutic advances, intraparenchymal hemorrhage HIP continues to present high Indices of mortality and disability. Its clinical differentiation with ischemic stroke from neuroimaging examination is fundamental. There is no specific treatment for a HIP. Its management consists of support and approach measures on intracranial hypertension, being reserved for the intervention Surgical in selected cases. Minimally invasive surgical techniques are underway. This study aims to review and discuss the approach of intraparenchymatous hemorrhages in medical practice. brain hemorrhage, brain parenchymal hemorrhage, brain hemorrhage, cerebrovascular accident, cerebrovascular stroke, brain vascular accident. 1719-1724 Issue-3 Volume-3 Renato Serquiz E Pinheiro | Yanny Cinara T Ernesto | Irami Araújo-Neto | Fausto Pierdoná Guzen | Amália Cinthia Meneses Do Rêgo | Irami Araújo-Filho