Introduction: Spontaneous intracerebral hemorrhage (ICH) is a blood clot that arises in the brain 
parenchyma in the absence of trauma or surgery. Patients and Methods: It is retrospective single 
blind controlled study on 20 patients with spontaneous ICH admitted at Minia university hospital.
Results: Our study performed on twenty patients in neurosurgery unit, Minia university hospital. All 
of these patients had intracerebral hemorrhage confirmed by CT. Patients and Methods: It is 
retrospective single blind controlled study on 20 patients with spontaneous ICH admitted at Minia 
university hospital. Discussion: Spontaneous ICH remains a significant cause of morbidity and 
mortality throughout the world. Conclusion: Surgical treatment of ICH is preferable than medical 
treatment especially in young patients with large expanding hematoma in the absence of other medical 
problems.