To establish whether a policy of earlier surgical evacuation of the haematoma in selected
patients with spontaneous lobar ICH will improve outcome compared to a policy of initial
conservative treatment. The trial will also help to better define the indications for early
This will overcome two of the criticisms of STICH (timing was too late and sometimes location
was too deep). The subgroup identified in STICH is clinically sensible and the hypothesis
identified for STICH II is in line with current neurosurgical opinion.