Swirl sign was independent predictor of death at one month (p = 0.03; adjusted odds ratio 2.6, 95% CI 1.1 - 6), and functional outcome at three months (p = 0.045; adjusted odds ratio 2.6, 95% CI 1.02 - 6.5).<br><b>CONCLUSIONS</b>: As swirl sign showed to be an ominous sign, we recommend identification of this sign in cases of ICHs.<br>