The ENRICH study was published in 2024 in the New England Journal Of Medicine and compared conservative with minimally invasive surgical treatment of intracerebral hemorrhages[^1].
Authors’ conclusion
Among patients in whom surgery could be performed within 24 hours after an acute intracerebral hemorrhage, minimally invasive hematoma evacuation resulted in better functional outcomes at 180 days than those with guideline-based medical management. The effect of surgery appeared to be attributable to intervention for lobar hemorrhages[^1].