[Intracerebral hemorrhages].

Next to cerebral infarcts, spontaneous intracerebral hematomas are the second most frequent of cerebral insults. In recent years, the risk factors have been re-evaluated. The prognosis with respect to morbidity and mortality is also more favorably estimated as compared to previous years. The prognosis is determined by the size of the hematoma, its location, and the degree of intraventricular hemorrhage. The various clinical syndromes can be differentiated on the origin of the hematoma. In general, cerebellar hematomas over 20 ml volume must be surgically removed. We recommend surgical removal of lobar and putaminal hemorrhages only when life saving measures are necessary.