Placing External Ventricular Drains Using Assistive Augmented Reality or Image-Based Localization

Inclusion Criteria: * adult patient at time of screening * diagnosis of spontaneous ICH with IVH with severe TBI * Meet one or more of the following clinical or radiographic criteria: Tissue swelling on imaging Dysmorphic ventricles on imaging Midline shift \>2mm on imaging Mass effect on imaging Evans Index \<0.3 on imaging Glasgow Coma Scale 3-8 * admitted to Cooper University Health * requires an EVD Exclusion Criteria: * Other concomitant intracranial pathology (e.g., tumor, tumor-related edema/hemorrhage, congenital condition, etc.) * Concurrent participation in another research protocol for investigation of an experimental therapy * Known or suspected inability to adhere to study protocol or protocol requirements, as per the discretion of the investigator