Background: Approximately 40% of patients with hypertensive ICH die and there has been always controversy regarding the optimal timing of intervention in those who require surgical evacuation of hematoma. Therefore, this study is undertaken to assess the outcome using Glasgow Outcome Scale, in patients undergoing early surgery (<24 hours) versus delayed surgery (>24 hours). Material and Methods: Present study was prospective analytical observational study, conducted in patients having spontaneous cerebral bleed on CT. Results: In this study of 62 patients, 34 Patients were in Early surgery group (<24 hours) and 28 were in Delayed surgery group. In both groups, males were more than females. The average volume of hematoma in Early Surgery Group was 54.50, with minimum volume of 35 ml and maximum volume of 110 ml and in Delayed Surgery Group average volume was 64.85 ml, with minimum volume 45 mi and maximum volume of 110 ml. In early surgery group, the most common location was Putamen 16 (47%), followed by Parietotemporal lobe 7 (20%), parietal lobe 5 (15%), thalamus 4 (12%) and frontal lobe 2 (6%) respectively. In delayed surgery group, the most common location was Putamen 14 (50%), followed by Parietotemporal lobe 6 (21%), parietal lobe 3 (11%), thalamus 3 (11%) and frontal lobe 2 (7%) respectively. In the present study out of total 62 patients were 22 (35.48%) expired. Among 34 patients of Early surgery group, 10 (29.41%) patients expired. Among 28 patients of delayed surgery group, 12 ( 42.86%%) expired. Conclusion: Early surgical intervention results in better outcome compared to delayed surgery. Though it may not be statistically significant but is suggestive of poor outcome in case of delayed surgery compared to early surgery in this study.

spontaneous cerebral bleed, hematoma, early surgical intervention, delayed surgery