The complications of hemorrhagic stroke in children begin first with one’s failure to establish the correct diagnosis or from the lack of knowledge of attendant phenomena and second, from those events which occur before, during or because of the treatment provided for specific lesions. The fundamental principles of history gathering, clinical evaluation and appropriate neuroimaging will direct safe, uncomplicated patient care. This paper will examine those complications which may arise during the treatment of pediatric aneurysm, arteriovenous malformation and venous angiomas, newborn intraventricular hemorrhage, and cerebral hemorrhage associated with either a preexistent coagulopathy or neoplasm.