Surgery for intracerebral hemorrhage: new evidence and changing perspectives - Takeaways - MDSpire

Surgery for intracerebral hemorrhage: new evidence and changing perspectives

  • By

  • Airton Leonardo de Oliveira Manoel

  • Ali Msheik

  • Sophie Schuind

  • Ghaya Ibrahim K. Al Rumaihi

  • Fabio Taccone

  • December 1, 2025

  • 0 min

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  • 1

    Spontaneous intracerebral hemorrhage (ICH) has a high 1-month case fatality rate of 35-40%, with limited interventions improving long-term outcomes.

  • 2

    Surgical techniques for ICH include open craniotomy, decompressive craniectomy, neuro-endoscopy, and minimally invasive catheter evacuation.

  • 3

    Recent trials, including ENRICH and MIND, explored minimally invasive approaches but reported no significant functional outcome improvements over conservative treatment.

  • 4

    The ENRICH trial utilized a minimally invasive technique that aims to preserve functional brain tissue while effectively evacuating hematomas.

  • 5

    Challenges in surgical management of ICH include incomplete clot evacuation, complications, and difficulties in selecting optimal patient populations.

Original Source(s)

Surgery for intracerebral hemorrhage: new evidence and changing perspectives

  • by Airton Leonardo de Oliveira Manoel, Ali Msheik, Sophie Schuind, Ghaya Ibrahim K. Al Rumaihi, Fabio Taccone

  • December 1, 2025

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