Intracerebral Hemorrhage, Indication for Surgical Treatment and Surgical Techniques

Intracerebral hemorrhage is a common disease. We give a short review of primary haemorrhages under neurosurgical aspects. Neurological symptoms depend on localisation and size of the hematoma. Only a subgroup of intracerebral haemorrhages is treated surgically. The STICH-trial tried to differentiate, in which cases the hematoma should be removed surgically. Surgical treatment could be performed by open craniotomy, endoscopic evacuation of the hematoma or CT-guided stereotaxy.