What are the roles of whole brain radiotherapy and stereotactic radiosurgery for hemorrhagic brain metastases?

Most of the patients I see with brain metastases have primary lung cancer, so hemorrhagic brain metastases from primary choriocarcinoma is not something I see much. But I do see a few melanoma brain metastasis patients and hemorrhage in that situation is more common than in primary lung cancer. A few months ago I saw an elderly man who had a large hemorrhagic brain metastasis that lead to very severe contralateral paresis. It did not improve with steroids. I recommended surgical resection which had initially been declined due to the age of the patient and the fact he had other sites of extracranial disease. But the surgery proceeded because I didn't think radiation therapy of any type (SRS or WBRT) would have any significant impact on his n...