Henoch-Schonlein 자반증은 전신적인 백혈구파쇄성 혈관염을 특징으로 하는 질환으로 뇌혈관의 침범 및 뇌출혈은 드물게 보고되나, HSP 증상이 심한 고령의 환자에서 신경학적 증상이 있는 경우 의심해 보는 것이 진단 및 치료에 도움이 될 것으로 생각된다.Henoch-Sch?lein purpura (HSP) is an immunologically medicated systemic vasculitis of small blood vessels affecting the skin, gastrointestinal tract, joints, and kidneys predominantly. Neurological complications in HSP include headache, focal cerebral deficit, coma, convulsion, subarachnoid hemorrhage, and chorea. However, intracerebral hemorrhage complicating HSP is rare. We describe a case of HSP with an intracerebral hemorrhage in a 67-year-old female who was diagnosed with HSP and complained of left homonymous hemianopsia and numbness in the right hand during treatment. Brain imaging showed an intracerebral hemorrhage in the occipital lobe. Her symptoms improved after conservative care. Ultimately, the patient died because of vasculitis and a worsening infection. We report the case of an elderly female with an intracerebral hemorrhage in HSP and review the literature.