Craniotomy: Procedure, Recovery & Risks Explained

What is Craniotomy Surgery?

Craniotomy is a serious operation in which a portion of the skull of the individual is cut off to reveal the brain. Craniotomy surgery is used to treat a variety of brain disorders, including:

• Brain tumors
• Stroke causing brain edema
• Epilepsy
• Blood clots in the brain
• Brain aneurysms
• Hemorrhage
• Skull fractures

Craniotomy Procedure Steps

• Preparation: Patient removes all rings or other items on her hands and wrists, is gowned for surgery; IV line and catheter are initiated; and the patient is put on the operating table for brain surgery. Anaesthesiologist controls the rate of pulse, blood pressure, respiratory process and blood oxygen level.
• Cleaning and shaving: The surgeon then uses an antiseptic solution to wash the skin and is sure to shave the hair around the area of the cut.
• Incision: Surgically, an incision is made on the skin. The kind of craniotomy depends on location of the skin incision done to expose the head of the skull.
• Drilling: A small hole, or several holes which are small in size, are made on the patient’s skull by the surgeon.
• Bone Flap Removal: The bone flap is then removed from the skull using a saw where the surgeon incubates the area often where the bone flap is required. Finally, some surgeons remove the bone flap at the end of the surgery, although it may be used to rewrite the skull. 
• Brain exposure: The head is covered by a tough layer of skin known as dura mater which the surgeon first separates before any operation on the brain. 
• Brain surgery: In a surgical procedure, depending on the reason why the operation in required, the surgeon works on the brain.
• Closure: The bone flap is then replaced by the surgeon and held in position by use of wires, screws, plates or stitches. After that, the surgeon stitches the testicular incision and also repositions all the abnormal placed muscles or tissues cut during the surgery.

Craniotomy Recovery Time

Craniotomy recovery is time is contingent upon such factors as the indication for surgery (i.e., tumor removal, aneurysm clipping, trauma), the patient's age and general health, and the extent of the surgery. The following is a general outline of the recovery phase:

Immediate Post-Surgery (0–7 Days)

• Hospitalization: 3 to 7 days based on the procedure and complications.
• ICU monitoring for 1–2 days and then general ward transfer.
• Common symptoms: headache, lethargy, dizziness, nausea, mild confusion.
• Patients are urged to resume walking (with assistance) in 1–2 days.

Short-Term Recovery (2–6 Weeks)

• Home rest and restricted activity.
• Energy increases gradually, swelling decreases, and pain becomes less.
• Stitches or staples usually come out within 7–14 days.
• You might be told to avoid driving, heavy lifting, and strenuous physical activities.
• Resume light activities: 3–4 weeks after surgery (if uncomplicated).

Long-Term Recovery (6 Weeks to 6 Months+)

• It can take 6 to 12 weeks or more for full brain function and energy levels to return to normal.
• Cognitive and neurological symptoms (such as memory problems, difficulty speaking) can be rehabilitative.
• If the craniotomy is done for a tumor or aneurysm, the recovery might be longer, particularly if radiation or chemotherapy is required afterwards.
• Return to work: usually 6–12 weeks, depending upon type of job and progress of health.

Risks of Craniotomy

Any surgical operations works with some potential dangers and a craniotomy is not an exception. On the same note, craniotomy surgery can potentially carry out remarkable and life-saving treatment of disorders affecting the brain’s activity; however, there are conditions that facilitate the craniotomy complications: 

• Infection of site that is the surgical site or an infection in the brain.
• Bleeding within the brain
• Brain swelling
• Seizures 
• There may be more potassium or other blood clots causing a stroke after some craniotomy has been made
• Neurological changes that includes weakness, blurred vision, speech difficulties, or memory impairment.

Craniotomy Success Rate

In India, craniotomy surgery success is normally high, post-surgical death rate is almost negligible. Craniotomy surgery has high surgical success rate of 96-48% depending on size of tumour and condition of the patient.

How long is craniotomy surgery?

The duration of a craniotomy surgery typically ranges from 3 to 6 hours, but it can vary depending on several factors:

Average Duration by Type of Craniotomy:

• Brain tumor removal: 4 to 6 hours (or longer)
• Aneurysm clipping: 3 to 5 hours
• Traumatic brain injury (hematoma): 2 to 4 hours
• Epilepsy surgery: 3 to 5 hours
• Biopsy or small lesion removal: 1.5 to 3 hours
• Awake craniotomy: 4 to 6+ hours

Factors Affecting Cost of Craniotomy Surgery

The cost of craniotomy surgery can vary significantly based on several medical, logistical, and regional factors. Here are the key factors that affect the cost of craniotomy surgery:

• Type of Craniotomy Performed
• Underlying Condition Treated
• Pre-Operative Tests & Imaging
• Surgeon’s Experience and Team
• Hospital Type and Infrastructure
• Length of Hospital Stay
• Post-Operative Needs
• Location and Country

Why Choose GetWellGo for Craniotomy Surgery?

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for Craniotomy surgery.
• Expert doctor with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food