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E-Ü-T.F. Department of Neurosıırgery, Bornova, Izmir – Türkiye Management of spontaneous intracerebral haemorrhage is one of those fields where the discussion is still on. Questions of to operate or not to operate, timing and type of surgery does not have clear answers yet. Open craniotomy, burr-hole draining with or without thrombolytic agent administration are current methods of choice for surgery. The surgical outcome of 151 cases of spontaneous intracerebral haemorrhage are discussed and the initial neurological grade. timing and type of surgery and outcome are evaluated. It is concluded that timing of surgery and neurological grading are important factors for outcome together with satisfactory surgery. Keywords : Spontaneous intracerebral haemorrhage, surgical management