How do you select patients with spontaneous intracerebral hemorrhage for minimally invasive surgical hematoma evacuation, if offered at your institution?   

Disclosure - our institution is conservative in its approach to surgical management of ICH, as we don't seem to have the supportive evidence to warrant large-scale application. With that, we take all cerebellar ICH with depressed level of consciousness or NIHSS >4. We consider cortical hemorrha...

We still don't have a great answer for this question. It makes sense when there is an impending herniation and the patient is likely going to die without surgery. But these patients usually get a craniotomy and not minimally invasive surgery. In patients not in such extremis, minimally invasive surg...