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eveloping large middle cerebral artery infarcts requiring a decompressive hemicraniectomy. Intracranial pressure (ICP) monitors have been used in some patients with spontaneous intracranial hemorrhage (ICH) to provide information to guide treatment without clear evidence for its use in this population. We assessed the impact of ICP monitor placement, including external ventricular drains and intraparenchymal monitors, on neurologic outcome in this population. In this secondary analysis of the Minimally Invasive Surgery Plus Alteplase f