Removing Old Windows Updates:-

Folders that have uninstall as part of the name (for example $NtUninstallKB282010$ which
reside in C:\windows (hidden folders) are Window Hot Fix Update folders/files) can be
safely deleted (providing you never wish to uninstall the updates). I would recommend
leaving these folders for a period of at least a month to make sure the update is working
correctly.

These updates can be deleted individually or in multiples. To find out more about the
update/s go to:
http://support.microsoft.com/?kbid=XXXXXX
NB: XXXXXX = the actual number not including the "Q" or "KB"

Once you have deleted the uninstall folders/files, then go to Control Panel, Add/Remove
Programs. Select the matching Windows Hotfix Title relating the update folder/file you
have just deleted and select remove. You will get a Windows error. This is because you
have deleted the uninstall folder/files. Just choose OK and the entry will be deleted from
the Add/Remove Programs Listing.