Method and apparatus for the evacuation of intracerebral hematomas comprises a minimally invasive non-operating room surgical apparatus within a neuro-navigation system that can provide real-time imaging of the ICH evacuation procedure. Apparatus uses an auger housed within an apertured lumen which, when placed in proximity to a hematoma and rotated in an appropriate direction, causes the removal of the clotty material from the hematoma. Apparatus also includes ultrasonic imaging capability and an electromagnetic tracking coil to enable real-time, three-dimensional visualization of the evacuation procedure.