We report the case of a 37-year-old female patient harboring a right tentorial meningioma with bicompartmental growth who deteriorated while awaiting elective surgery. Both radiological and operative findings demonstrated intra tumoral and intracerebellar hemorrhage. The tumor was removed totally in two sessions and was an angioblastic type. We discuss the frequency, presentation and outcome of such patients and point out to precautions that need to be taken.