SICH is caused by non-traumatic bleeding and the underlying causes such as arterial (large and small vessel disease), venous diseases, vascular malformations and hemostatic disorders must be further evaluated. In cases of TICH further evaluation of counter coup injuries, presence of extradural hematoma and subdural hematoma must be looked for. Hence differentiating between the two forms of ICH is important. Source of Data -patients presenting to VIMS Neurosurgery department with either spontaneous or traumatic ICH and posted for keyhole craniectomy were included as a part of the study over a period of 3 years Aug 2017 to Aug 2021. The location of ICH in spontaneous ICH was most commonly observed in basal ganglia region .The incidence of traumatic ICH was highest in temporal region followed by frontal region with a few in parietal and occipital region. Though the incidence of traumatic ICH was more common in our study it had a better outcome with death being reported in only 2 out of 25 patients as opposed to spontaneous ICH in which 5 out of 15 patients succumbed .This may be attributed to the elderly age of presentation and presence of comorbidities in spontaneous as opposed to traumatic ICH.