This review on intracerebral haemorrhage (ICH) focuses on the early complications, discussing emerging therapies and relevant preventative and management strategies based on available evidence and guidelines. The following headings are discussed:

• Haematoma expansion

• Perihaematomal oedema

• Intraventricular extension of haemorrhage and hydrocephalus

• Seizures and epilepsy

• Venous thromboembolic events

• Fever

• Hyperglycaemia

• Increased blood pressure