Object: The goad of work was aimed to investigate clinical caracteres and treatment of spontaneous cerebral hemorrhage. Method: This study was conducted in all patients meet critere of investigation in department of Neurosurgery and spinal surgery, Binh Dinh General Hospital from 5/2010 - 5/2011, the author analyzed the characteres following: sex, age, neurological symptom. The Surgical treatment and prognosis fators of the outcome was evaluated. Result: There were 29 patients (16 men 55,2 percent, 13 women 44,8 percent), mean age was 66,9 + or - 2,6. The consciousness was decreased on admission 6 cases (20,7 percent). The most frequent symtoms during his pitalisation were head each (37,9 percent), focal deficit (34,5 percent) and comma (44,8 percent). Surgical treatment were in 2 cases, 6,9 percent. Good outcome only were 11 cases (21 percent), mortality was in 55,2 percent of patients. Prognostic factor significantly was .conscious state on admission. Conclusion: clinical characteres were complicated and severe surgical treatment was in 6,9 percent. The result of treatment was poor with high mortality (55,2 percent). The method of the improvement of result must be studied.