The causes of brainstem hemorrhage can mainly be divided into three categories,

The first category is caused by hypertensive factors, which are often the most common cause.

The second category is caused by vascular diseases, among which cavernous hemangiomas and arteriovenous fistulas are most common.

The third category includes relatively rare diseases, which should not be overlooked in clinical practice, such as tumoral factors. For these, specific examinations must be conducted to accurately determine the cause of the bleeding.

Whether treatment is possible depends on the specific circumstances at the time. If the amount of bleeding is relatively small and the area affected is not a critical functional zone, such as the medulla, there is still a possibility of treatment later on. Active surgical and medical treatments can lead to healing later on. However, if the brainstem hemorrhage has already caused cessation of breathing and circulation, generally, there is no need for treatment as such conditions often lead to respiratory and circulatory failure, resulting in death.