Treatment is tailor made and depending upon the cause and when the patient has reached for medical help. If it is a clot in the blood pipe, they can be subjected to Intravenous or intraarterial thrombolysis or mechanical thrombectomy where ever the facilities are available and if patient reaches hospital in 4.5 hrs to 24 hrs. If there is brain bleed, the decision of subjecting the patient for surgery is decided on many factors taking the size and extent of the bleed and patients neurological condition. If the patient deteriorates too fast or the brain pressure is building up rapidly then hematoma evacuation, decompression craniotomy, external ventricular drainage etc. are done to save the life.
Besides, this monitoring the patient by neurocritical care team, for fluid electrolyte and ventilation, hemodynamic stability, monitoring the patients major organ function on minute to minute basis and appropriate mobilization of the team in case of deterioration.