The REACH study is looking at two ways to treat a type of stroke called an **intracerebral hemorrhage**, where a blood vessel in the brain bursts. One way is the usual medical care, which includes staying in the ICU and taking medicines to control blood pressure and prevent more bleeding. The other way is a newer method called **minimally invasive surgery**. This involves making a small opening in the skull to remove the blood. Researchers want to see if this surgery helps patients recover better than the standard care. **Key Points:** - Participants must be 18 to 70 years old and have specific stroke conditions. - The study compares usual medical care to minimally invasive surgery. - Participants should expect treatment to start within 24 hours of stroke symptoms. This study might help doctors understand if the new surgery method is better for people with deep brain bleeds. Patients who meet the criteria can join the study to help find a better treatment option.