Indication to surgery should be expressed generously if cerebellar Intracerebral hemorrhage is causing disorders in circulation of the Cerebrospinal fluid or isIntracerebral hemorrhages affecting the brain stem by a mass effect. (Clinical signs are reduction of consciousness, swallowing disorders, or abducens palsy). (Fig. 3). In cases of small cerebellar hemorrhages and disorders in circulation of the Cerebrospinal fluid only a temporary external ventricular drain should be implanted, but the hematoma itself should not be evacuated,but the hematonia itself should not be evacuated.