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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.