Craniotomy and burrholes for intracranial bleeding

An intracranial bleeding or intracranial hematoma is a collection of blood in the skull which occurs due to the rupture of blood vessels in the brain. It can be due to accidents/trauma, or spontaneous. The blood can get collected in the brain tissues or between the skull and the brain. If it is large, it can lead to excess pressure in the brain.
An intracranial hematoma is serious and life-threatening and requires immediate treatment. While many patients need surgery to remove blood collected in the brain, patients with small intracranial hematomas and some brain bleed symptoms can be treated without surgery.


There are widely two types of surgical procedures to treat subdural hematomas which include-

Craniotomy for intracranial bleeding

In this treatment procedure, a portion of the skull is removed temporarily so that the Neurosurgeon can access and remove the hematomas. The hematoma is removed using suction and irrigation and then flushed with the fluid. The flap is then placed back and secured with screws and metal plates. This procedure is carried out under general anesthesia. Sometimes, if there is severe swelling of the brain, the bone flap is not replaced and is usually preserved in the freezer. This is procedure is called decompressive craniectomy. After the brain swelling subsides, the bone flap is replaced at a later stage usually after 6-12 weeks.

Burr holes for intracranial bleeding

In this treatment procedure, a small hole is made in the skull and then a flexible rubber tube is inserted through which the hematoma is drained out. This procedure is used for subdural hematomas that develop a few days or weeks after a minor head injury also known as chronic subdural hematomas. To prevent recurrence, the tube is left in place for a few days to drain any remaining blood in the brain. This surgical procedure is done under general anesthesia and in some conditions can also be done under local anesthesia.

Risks of surgery 

The surgery for intracranial hematomas has some risks and complications.

If you have been diagnosed with chronic subdural hematoma and your doctor had suggested you to undergo intracranial bleeding surgery, then  get a second opinion from experienced Neurosurgeon in  Dubai UAE  for intracranial bleeding. To learn more about the procedure, risks involved and the expected outcomes.

Dr. Arun Rajeswaran

Consult Dr. Arun with a professional experience of more than 13 years in the field of Neurosurgery

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