Inclusion Criteria:  Age >18 years of age Need of EVD Active treatment  Signed informed consent obtained  a. Based on institutional and country laws  Spontaneous ICH with maximum 30 square cm's If needed, normal coagulation profile (PT, PTT, platelet count) Treatment within 72 hours of ictus Ability to administer 2.0 mg of tPA per day for 3 days  Exclusion Criteria:  Age < 18 years No need of EVD Patient has fixed and dilated pupils Coagulopathy uncorrectable Vascular pathology (e.g. Aneurysm involvement, AVM involvement) Pregnant women