One of the most common sites of spontaneous intracranial bleeding is the pons. Lesion at the pons may cause significant neurological deficits as you can see at the ER department or Stroke unit. As a part of the brainstem, the pons relays neural signal from cerebrum and cerebellum to organs all over the body. It connects with the reticular formation, cardiovascular and respiratory centers, which play important roles necessary for life . Until now, there are no standard treatment guidelines for the Primary Pontine Hemorrhage (PPH). Yet, there are many retrospective studies about the correlation between the mortality rate and the functional score at the onset of stroke which can be used to imply the prognosis of patients and also to plan for a treatment.