Spontaneous intracerebral hemorrhage (ICH) is a major type of hemorrhagic stroke, occurring annually in 10 to 20 persons per 100,000 populations. The most common cause of spontaneous ICH is rupture of small penetrating arteries after chronic insult as a result of hypertension and more than 50% of the hemorrhage is located in the basal ganglia. Despite major advances in early computed tomography (CT) diagnosis, improvements in neurosur- gical critical care, and refinements in microsurgical techniques, the mortality remains high and only 38% of