bleeding in brain cause by ruptured vessel, 10% of all strokes. HTN is most important cause. Can be cause by coagulation disorders, anticoagulant/thrombolytic drugs, trauma, brain tumors, and ruptured aneurysms. Sudden onset of symptoms including neurologic defects, headache, n/v, decreased LOC and HTN, weakness of one side, slurred speech, deviation of the eyes. Progression due to severe symptoms can include hemiplegia, fixed and dilated pupils, abnormal body posturing, and coma.