Craniotomy for Hematoma

A craniotomy for hematoma is a complex neurosurgical procedure performed to remove a life-threatening blood clot (hematoma) from the brain. At the Brain and Spine Center of Texas, our experienced neurosurgeons use cutting-edge techniques to safely relieve intracranial pressure, prevent further brain damage, and improve patient outcomes.

A hematoma is a collection of blood outside the blood vessels, often caused by trauma, stroke, or ruptured blood vessels in the brain. When a hematoma compresses brain tissue and leads to dangerous swelling, a craniotomy—a surgical removal of a portion of the skull—is necessary to access and remove the blood clot.

This procedure is commonly used to treat:

• Subdural hematomas – Bleeding between the brain and dura (outer covering).
• Epidural hematomas – Blood accumulation between the dura and skull.
• Intracerebral hematomas – Bleeding directly into the brain tissue.
• Hemorrhagic stroke-related bleeding – When blood vessels rupture inside the brain.

If left untreated, these conditions can lead to permanent brain damage, coma, or even death. A craniotomy for hematoma is a critical, life-saving intervention.

This surgery is performed under general anesthesia and typically involves:

1. Making an incision in the scalp to expose the skull.
2. Removing a portion of the skull (bone flap) to access the brain.
3. Draining and removing the hematoma to relieve pressure.
4. Repairing damaged blood vessels (if necessary) to prevent further bleeding.
5. Replacing the bone flap and securing it with plates or sutures.
6. Closing the incision carefully to promote healing.

The procedure can take several hours, depending on the size and location of the hematoma. Close monitoring in an intensive care unit (ICU) is required after surgery to ensure stable recovery.

The recovery process varies depending on the severity of the hematoma and the patient’s overall health. Hospital stays typically range from a few days to several weeks for observation and rehabilitation. Post-operative care includes:

• Pain management and wound care for the surgical site.
• Neurological assessments to monitor brain function and cognitive recovery.
• Physical therapy and rehabilitation to regain strength and coordination.
• Follow-up imaging (CT/MRI scans) to check for recurrent bleeding or swelling.

While some patients experience rapid improvement, others may require long-term therapy to recover lost neurological functions.

• Experienced Neurosurgical Team – Specialists in complex brain surgeries.
• Advanced Surgical Technology – Precision techniques for improved outcomes.
• Personalized Treatment Plans – Tailored rehabilitation and recovery care.
• Comprehensive Post-Operative Support – Ensuring long-term neurological health.