Abstract: Abstract Objective：To explore a new surgical method to treat hypertensive basal ganglia hemorrhage (HBGH) and its curative effect．Methods：A total of 21 patients with hypertensive cerebral hemorrhage in the fundus node at a super early stage (≤7h) were enrolled in this study．Microsurgery trough the lateral fissure and insula via pterional keyhole approach was employed to treat the patients．The CT reexamination within 2 days post-operation among all patients and they were evaluated by activities of daily living (ADL) after the operation 3-12 months．Results：The CT showed that hematoma clearance rate>90% was achieved in 18 cases，80~90% in 3 cases．All but one of the patients survived after the operation．The patients were evaluated by activities of daily living (ADL) after the operation． ADLⅠ was found in 4 cases，ADL Ⅱin 12 cases，ADL Ⅲ in 3 cases，ADL Ⅳ in 1 case and ADL Ⅴin 0 case． One case died． Conclusion：Super Early Stage Transsylvian Transinsular Approach on Hypertensive- Cerebral Hemorrhage in Basal Ganglia Regions had the advantages of short operating time，short pathway，minimal invasion and better patient recovery．It may improve in combination with comprehensive therapy．

Key words: hypertension, intracranial hemorrhage, hypertensive, basal ganglia hemorrhage, minimally invasive, early diagnosis