Objective To analyse the frequency of patients of spontaneous intracerebral hemorrhage (ICH) that accompanied with intraventricular hemorrhage(IVH) and the anatomy position where the IVH occurred. Furthermore to assess the prognosis of all the patients included.Methods Authors retrospectively reviewed the clinical data and CT scan Results of all patients admitted to the cerebrovascular disease center of the 4th hospital of Changsha in recent 7 years. Filtrated the suitable cases and calculated the frequency of IVH and defined the relationship between the ICH anatomy position and the IVH frequency, then outcome data of all patiens were collected.Results 307 patients with ICH were identified. A total of 39.7% had IVH. Thalamic and caudate locations had the highest IVH frequency (52.7% and 100%). The follow-up was made 3 months after the patient was admitted to the hospital and the modified Rankin Scale (mRS) was used to assess the outcome. The higher score of mRS means the worse outcome. The average mRS score of the patients with IVH was almost twice as that of the ICH patiens without IVH.Conclusions Intraventricular hemorrhage (IVH) occurs often in the patients with spontaneous intracerebral hemorrhage (ICH) and is closely related to ICH volume and location. Further, bad outcome can be predicted in those ICH patitents associated with IVH.