[Surgical therapy of intracerebral hemorrhages].

Level of consciousness and focal neurological deficits following spontaneous intracerebral hemorrhage are a consequence of tissue destruction and compression. Surgical indications are given, if compression is the principal factor. Accepted indications are superficial cerebral hemorrhages of more than 50 to 100 ml and cerebellar hemorrhages of more than 20 to 30 ml. If basal ganglia hematomas should be surgically evacuated is still a matter of discussion. Arterial aneurysms and arteriovenous malformations associated with some spontaneous hematomas require special treatment strategies.