Prognostic Factors for Surgical Management of Large Hypertensive Basal Ganglionic Haemorrhage

Inclusion Criteria: * 1\) patients aged between 15 and 60 years old ( elderly people\>60 years were excluded since their strokes weren't routinely examined by CT scan in the emergency ward, however, in children\<15 years old was due mostly to vascular malformations 2) CT scan showed basal ganglionic haemorrhage, with or without intraventricular extension within 24 hr post ictus 3) hematoma volume was 30 ml or above 4) Glasgow Coma Scale scores more than or equal 5 and stable vital signs Exclusion Criteria: * 1\) intracerebral hemorrhage was caused by secondary factors e.g ( vascular malformations or head trauma) 2) GCS less than 5 or multiple intracranial hemorrhage 3) associated visceral disease e.g hepatic or renal or clotting disorder 4) patients with preexisting neurological deficit e.g previous intracerebral hemorrhage or infarction