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We proposed lesion removal for patients who showed both neurological deterioration and lesion enlargement caused by re-bleeding, and the surgery was accepted by 10 patients. EDSS allowed us to assess patient status more accurately than KPS or mRS particularly during the perioperative period. In the statistical analysis, only EDSS differed significantly during the period between the initial proposal of surgery and the immediate preoperative period. Our results suggest EDSS to be superior for managing BCM patients, as compared