a patient, ICH should have a diameter more than 2cm, and GCS should be better than 5. Hemorrhages caused by a vascular abnormality, brain tumor or trauma were excluded, as well as ICH located in the cerebellum or in the brain stem. When randomized to the surgical treatment in about 75% craniotomy was done. The trial showed that there are no significant differences between surgical and non surgical treated groups. A good outcome was observed in 26% of the surgical und 24% of the medical treated group. Even the mortality after 6 months was nearly identical: 36% versus respectively. Furthermore the trial showed that poor initial GCS (less than 9) is associated with poor outcome regardless of surgical or nonsurgical treatment.