We describe the usefulness of stereotaxic surgery in the brain with special focus on aspiration of intracerebral hematoma using interventional MRI (0.3 Tesla; Hitachi, Japan). A 62-year-old female was admitted to our hospital with sudden right incomplete hemiparesis. A CT scan on admission showed a high-density mass in the left putamen. Soon after admission, her consciousness gradually decreased and the incomplete hemiparesis quickly worsened, so we promptly initiated an operation for stereotaxic aspiration of an intracerebral hematoma. During the surgery, real-time monitoring by MR-fluoroscopy depicted the gradual decrease of the hematoma. Postoperatively, her consciousness recovered to an almost alert level, but her right hemiparesis was unchanged. Stereotaxic aspiration of intracerebral hematoma using interventional MRI is advantageous because it enables accurate and safe evacuation of intracerebral hematoma in real time with no risk of irradiation during the procedure.