After intracerebral hemorrhage, the clinical status changes and hematoma volume (HV) in the brain associated with the prognosis of patients. the goals were to comment changes of clinical and intracerebral hematoma volume, noncontrast and contrast brain CT-Scanner images in acute supratentorial hemorrhage. Descriptive, prospective analysis of 188 acute supratentorial hemorrhage patients associated with hypertension at admission, admitted within six hours after onset, from 2010 to 2013 Results: The average age was of 58.2, including 128 males (68 percent) and 60 females (32 percent). There were no differences in the Glasgow, mRS score, only differences in the two time points. NIHSS at admission and after 72 hours. HV average on 2rd CT was 26.54 cm3, 1st CT was 22.35 cm3, rate has increased HV on 2rd CT after 72 hours was 12.77 percent.