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Craniotomy is a surgical procedure to temporarily remove of a part of the bone from the skull, for better access to the intracranial area of the brain. The temporarily removed portion of the skull, called bone flap, is replaced to its original position and fastened to its place with screws and plates.
If the bone plate is not replaced, then the procedure is called Craniectomy.
Depending on which portion of the skull is removed and replaced on, the procedure is categorized into Frontal, Pterional or Junctional Crainotomy.
A craniotomy that involves the use of a camera with a lighted scope inserted through a small incision in the skull is called an endoscopic craniotomy. When imaging and computer assisted navigation system are used in a craniotomy procedure, it is called stereotactic craniotomy.
A patient is recommended this surgery for:
The doctor will instruct the following:
MRI scan is scheduled pre-surgery for a better understanding of the approach required to be taken by the surgeon.
Craniotomy is generally performed under general anesthesia by an experienced neurosurgeon, and can take upto 4 to 6 hours.
During the procedure, the surgeon will
After the procedure is complete, the patient is generally required to stay in the hospital for 7 to 10 days.
Some swelling in the head may be observed after the surgery. During the hospital stay, there will be frequent checks to ensure the body is in coordiantion with brain. For example, pupils will be checked by flashing light on the eye, strength of arms and legs will be tested.
After discharge, the doctor will recommend
Complete recovery takes 2 to 3 months after the procedure.
Craniotomy is a complicated surgery which may have the following risks and complications: