Ten cases of brain metastases with significant intracranial hemorrhage are examined. The most frequent primary tumors were melanoma and lung carcinoma; bleeding was more commonly intratumoral and intracerebral. The clinical onset was acute in 6 cases and gradual in 4; the average survival time was 2 months. Intracranial bleeding in patients with brain metastases can present as a "stroke syndrome" and it remarkably reduces the survival time.