Burr Holes

Burr hole surgery is a minimally invasive neurosurgical procedure used to relieve pressure in the brain caused by conditions such as subdural hematomas, brain hemorrhages, and fluid buildup. At the Brain and Spine Center of Texas, our expert neurosurgeons perform this life-saving procedure using advanced techniques to ensure the best possible outcomes for our patients.

A burr hole procedure involves creating a small opening in the skull to drain excess blood, fluid, or relieve pressure inside the brain. This technique is often used to treat:

• Subdural hematomas – Bleeding between the brain and skull due to trauma or aging-related changes.
• Epidural hematomas – Blood accumulation between the skull and the dura (outer brain covering).
• Hydrocephalus-related pressure – In cases where cerebrospinal fluid needs to be drained.
• Brain abscesses or cysts – To allow fluid drainage and relieve pressure.

Burr hole surgery is a safe and effective method to prevent brain damage, stroke, and other complications caused by increased intracranial pressure.

This minimally invasive surgery is performed under local or general anesthesia, depending on the patient’s condition. The procedure involves:

1. Making a small incision in the scalp to access the skull.
2. Drilling a tiny hole (burr hole) into the skull to relieve pressure and drain excess fluid or blood.
3. Placing a catheter (if needed) to facilitate ongoing drainage.
4. Closing the incision with minimal sutures for faster healing.

The procedure is typically completed within an hour, with minimal recovery time compared to open brain surgery.

Most patients recover quickly from burr hole surgery, with hospital stays of 1–2 days for monitoring. Post-operative care includes:

• Pain management and incision care instructions.
• Follow-up imaging (CT or MRI) to ensure proper drainage and healing.
• Activity restrictions to promote healing and prevent complications.

In many cases, patients experience significant symptom relief almost immediately, especially if pressure or bleeding was causing severe headaches, confusion, or motor deficits.

• Minimally Invasive Expertise – Skilled neurosurgeons specializing in advanced, less invasive techniques.
• State-of-the-Art Facilities – Cutting-edge technology for precision and safety.
• Personalized Patient Care – Individualized treatment plans for optimal recovery.
• Comprehensive Follow-Up – Ensuring long-term success and preventing recurrence.