Patients with brainstem hemorrhage mostly have a risk factor of long-term hypertension, and they usually have poor blood pressure control. This results in small artery lesions, and under emotional excitement or severe fluctuations in blood pressure, bleeding in the brainstem occurs. Brainstem hemorrhage is quite dangerous; many patients who suffer from a significant amount of bleeding in the brainstem can fall into a coma, and some, even if their lives are saved, might end up with paralysis of the limbs or in a vegetative state. Currently, this is a global challenge, and brainstem hemorrhage is generally not advised to be treated surgically. However, some top experts both domestically and internationally have attempted surgical treatment for brainstem hemorrhage, and a portion of patients may see some effects from it, but generally speaking, most hospitals do not advocate for surgical treatment of brainstem hemorrhage. The treatment protocols for brainstem hemorrhage do not vary significantly between countries; the international treatment plans are quite similar.