Objective To explore the CT findings of emergency patients with cerebral hemorrhage in basal ganglia and the reference value of CT in surgical selection of patients. Methods 75 patients with cerebral hemorrhage in the basal ganglia treated in the neurosurgery department of our hospital from August 2011 to August 2014 were treated as the research objects. All patients underwent double-slice spiral CT to make clear CT typing of patients and the prognosis was evaluated with ADL. Results Among the 19 patients undergoing traditional craniotomy, the percentage of grade (Ⅰ+Ⅱ) patients was 84.2%. In 31 cases of patients undergoing small bone window minimally invasive craniotomy, grade (I+II) patients accounted for 80.6%.The difference was not statistically significant (P<0.05). In 50 patients, 41 patients had better prognosis which was grade I or II and CT typing results of the patients mainly were type I, II and Ⅲ of which the number of cases was 1, 7 and 16. The rate of good prognosis was 92.3%. The rate of good prognosis in 24 cases of type IV and type V patients was 70.8%. The difference was statistically significant (P<0.05), which indicated that the lower CT type was, the better prognosis was. Conclusion The application of CT in diagnosis of cerebral hemorrhage in basal ganglia is of significant features and it can provide reference for early diagnosis and surgical selection and can predict prognosis. It is worthy of promotion and application.