turning point in the nihilism surrounding surgery for ICH Based on my review, here are the key points about the results and findings: This article discusses the results of the ENRICH trial, which evaluated minimally invasive surgery plus thrombolysis (MIPS) compared to medical management for the treatment of spontaneous lobar intracerebral hemorrhage (ICH). The key findings are: The ENRICH trial met its primary endpoint, demonstrating that MIPS led to superior functional outcomes at 6 months compared to medical management alone in patients with lobar ICH. MIPS was associated with higher rates of hematoma evacuation and lower mortality compared to medical management. An adaptive trial design allowed early stopping of enrollme ...