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Craniotomy

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Craniotomy

What is a Craniotomy?

Craniotomy is a surgical procedure where a portion of the skull is temporarily removed to access the brain. It is performed to diagnose or treat conditions such as brain tumors, traumatic brain injuries, aneurysms, or infections. After the procedure, the bone flap is replaced and secured using plates, screws, or sutures.

Why is a Craniotomy Performed?

A Craniotomy is typically recommended for:

  • Brain Tumors: Removal of malignant or benign growths.
  • Traumatic Brain Injuries: Treating fractures, bleeding, or swelling in the brain.
  • Aneurysms: Clipping or repairing ruptured blood vessels.
  • Epilepsy: Removing seizure-causing brain tissue.
  • Infections or Abscesses: Draining infected areas in the brain.

The Craniotomy Procedure

1. Preparation:
  • The patient undergoes pre-surgery imaging like MRI or CT scans for precise planning.
  • The head is shaved in the surgical area and positioned to provide the best access to the targeted brain region.
2. Anesthesia and Incision:
  • The procedure is performed under general anesthesia.
  • The surgeon makes an incision in the scalp and carefully removes a bone flap.
3. Brain Access and Treatment:
  • The surgeon addresses the issue, such as removing a tumor or repairing a blood vessel.
  • Specialized tools and imaging guidance ensure precision during the operation.
4. Closure:
  • The bone flap is replaced and secured, and the scalp incision is closed with sutures or staples.

Types of Craniotomy

  1. Keyhole Craniotomy: Minimally invasive with a smaller incision.
  2. Stereotactic Craniotomy: Uses imaging technology for precise targeting.
  3. Awake Craniotomy: Performed while the patient is conscious to monitor brain function during surgery.
  4. Extended Craniotomy: Involves removing a larger skull portion for complex conditions.

Benefits of Craniotomy Surgery

  • Precise Diagnosis and Treatment: Allows direct access to brain abnormalities.
  • Life-Saving Intervention: Addresses life-threatening conditions like bleeding or infections.
  • Improved Neurological Outcomes: Restores or enhances brain function by removing damage or pressure.

Risks and Complications

While Craniotomy is a well-established procedure, it carries potential risks:

  • Infection: At the surgical site or in the brain.
  • Bleeding or Blood Clots: During or after the surgery.
  • Neurological Deficits: Temporary or permanent changes in brain function.
  • Swelling: Increased intracranial pressure post-surgery.
  • Seizures: May occur after brain surgery.

Recovery After Craniotomy

1. Hospital Stay:
  • Patients typically stay in the hospital for 3–7 days post-surgery, depending on the complexity of the procedure.
2. Short-Term Recovery:
  • Common symptoms include headache, fatigue, and mild swelling around the incision.
  • Pain is managed with medications prescribed by the doctor.
3. Long-Term Recovery:
  • Recovery may take weeks to months, with follow-ups and rehabilitation therapy to restore neurological function.
4. Lifestyle Adjustments:
  • Avoid strenuous activities for 6–8 weeks.
  • Maintain a healthy diet and adequate hydration to support healing.

Post-Surgery Care Tips

  • Follow all instructions regarding wound care to prevent infection.
  • Take medications as prescribed, including antibiotics and pain relievers.
  • Attend regular check-ups to monitor progress.
  • Inform your doctor immediately if symptoms like fever, severe headaches, or seizures occur.

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