Introduction Spontaneous intracerebral hemorrhage (ICH) accounts for 10-20% of strokes worldwide, with hypertensive vasculopathy being the most common underlying cause [1]. Brainstem hemorrhages represent one-third of ICH and often arise in the pons [2]. Vital sensorimotor pathways and cranial nerve nuclei traverse this region. Thus, characteristic signs of pontine ICH include hemiparesis, cranial nerve palsies, and impaired consciousness [3].Oculomotor nerve involvement causes ipsilateral ptosis and pupillary dilation with preservation of extraocular movements due to sparing of the superior branch [4]. Abducens palsy and internuclear ophthalmoplegia reflect medial longitudinal fasciculus damage [2]. Beyond focal deficits, brainstem hemorrhages frequently precipitate headaches and tinnitus due to vascular irritation of pain and auditory pathways [5]. Persistent, troublesome tinnitus impairs concentration and quality of life [6].The International Classification of Functioning, Disability, and Health (ICF) codifies the multifactorial impacts of health conditions like stroke [7]. The ICF enhances rehabilitation by elucidating specific limitations in body structures/functions, activities, participation, and environmental interactions. ICF-based assessment informs goal setting and interventions to optimize functioning and societal participation.This report presents an ICF profile of a patient with tinnitus and oculomotor palsy following pontine hemorrhage. MRI confirmed the hemorrhagic lesion. ICF components were examined to capture the breadth of disability. Tinnitus management and multidisciplinary therapies were tailored accordingly to promote recovery.