Approx cost would be $5000-$6000
Approx duration will be 10 days.
A craniotomy surgery is conducted to cut a bone opening in the skull. Known as a bone flap, this section is removed in order to gain access to the brain. Usually, this procedure is used to treat brain tumors, blood clots, aneurysms, foreign objects like bullets, skull fractures, swelling or infection in the brain. Based on the problem, a craniotomy may be small or large. Once the surgery is complete, the doctor will replace the bone flap using tiny screws and plates. In the cases where the bone flap is not replaced, the procedure is called a craniotomy surgery. Depending on why a patient needs a craniotomy, the hospital stay can be either a few days or a few weeks.
A craniotomy is the first step in surgeries that target elements in the intracranial compartment of the brain. Some of the indications for a brain surgery craniotomy include: • Biopsy of an abnormal tissue • Resection of a brain tumor • Relieving increased intracranial pressure • Resection of arteriovenous malformation (AVM) • Clipping both, ruptured and non-ruptured cerebral aneurysms • Removing brain abscess • Evacuation of a hematoma (epidural, subdural or intracerebral) • Microvascular decompression • Insertion of implantable hardware in the brain like a deep brain stimulator (DBS), or ventriculoperitoneal shunt (VPS)
Before a craniotomy infection treatment, the doctor will prescribe a series of tests like blood tests, ECG, Chest X-ray, etc. Brain imaging is also an integral part of the pre-procedure for craniotomy. Either CT scans or MRIs are now used to identify the problems in the brain. You should mention all the medications you are taking to your doctor before the surgery and follow the guidelines advised. It is best to stop smoking and drinking at least 2 weeks prior to your surgery as it can cause bleeding problems.
• An intravenous (IV) line is placed in your arm and you are given general anesthesia right before the surgery. • Once you are asleep, your head is placed on a 3-pin skull fixation device that helps in keeping your head in a steady position. • The doctor will then insert a lumbar drain in the lower brain to remove the cerebrospinal fluid (CSF) so that your brain can relax during the surgery. • Then, a skin incision is made behind the hairline after prepping the skull with an antiseptic. Depending on the complexity of the surgery, either a large part of the skull needs to be shaved or just ¼ inch wide area is enough. • The skin and muscles are then lifted off the bone and folded behind. After this, your neurosurgeon will make one or more small burr holes in the skull using a drill machine. • A saw is inserted through these burr holes to cut the outline of the bone flap, which is then removed and lifted to expose the area of the brain called dura. • The bone flap is carefully stored until the end of the procedure so that it can be placed back on the skull • Once the brain is exposed, the surgeon will fix the problem and then close the dura with sutures. • The bone flap is then put back in its place and secured firmly with titanium plates and screws. • The skin and muscles are also sutured back and a soft adhesive dressing is placed on the incision
After a craniotomy procedure, you are taken to the recovery room and your vital signs are monitored once you wake up from the anesthesia. You are normally kept on a ventilator until you fully recover from the anesthesia and the doctor feels you can breathe on your own. You are then transferred to the Neuroscience Intensive Care Unit (NSICU) for close monitoring and observation. The nurses will ask you to constantly move your arms, legs, fingers and toes to check your improvement. Your pupils and orientation are also checked and you might be given pain medications to prevent nausea and headache post-surgery. Depending on the severity of your surgery, you will have to stay in the hospital anywhere between 2 days to 2 weeks. The sutures will be removed 7-10 days after the surgery when you visit the doctor for a follow-up.
Just like any surgery, a craniotomy brain surgery also comes with a fair share of risks and complications. Some general risks include blood clotting, reaction to anesthesia, infection or bleeding. More specific complications of a craniotomy include: • A stroke • Constant seizures • Severe brain swelling which may need another round of surgery • Damage to one of the important nerves, leading to weakness or muscle paralysis • A CSF leak that may need a special repair • Loss of mental function • A long-lasting brain damage with many associated disabilities
India is home to a number of leading multi-specialty hospitals, especially in the field of neurosurgery. Many hospitals also offer a nursery and family accommodation so that patients traveling from abroad can easily manage their treatment with minimum hassles. The cost of the surgery is largely dependent on the city, hospital, technology used, anesthesia or sedation technique, expertise and qualification of the neurosurgeon and the patient’s diagnosis. If you’re looking for comfortable and reliable medical care, contact our doctors today on +91-9999950957 and we will be happy to offer all the information you need.
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