Traumatic and spontaneous intracerebral hematomas are very common disorders in clinical practice. Although both are described as intracerebral hematomas and sometimes may even appear radiologically the same, they behave differently in almost every other aspect. The aim of this study is to review the literature and recent publications regarding both conditions and to compare between them regarding their clinical presentation, management and prognosis. This may help us gain further insight into their management, and thus improve the care given to our patients.This study was done prospectively on 14 patients admitted to Kasr el Aini Neuro-emergency center, all with intracerebral hematomas. Patients were selected so as to be equally divided into Spontaneous and Traumatic intracerebral hematomas. All data regarding these patients were reviewed, including age, sex, medical history, clinical presentation, radiological findings and prognosis. The management protocols were also maintained for each group.After comparing the results, it was found that the median age of patients with TICH was lower than the median age of patients with SICH, Younger age and higher GCS score at presentation were strongly related to a favorable outcome for both types of hemorrhage and Irrespective of intervention, much better outcomes were achieved by patients with TICH compared with those with SICH.This concludes that both TICH and SICH have different features and that TICH have a much better prognosis than SICH. Aggressive management and surgical intervention is therefore more justified for TICH than for SICH.