Burr Hole Surgery for Haematoma

Burr Hole Surgery for Haematoma

What is Burr Hole surgery?
Burr hole surgery is a procedure in which your Neurosurgeon makes a small hole in your skull to relieve pressure on the brain due to build-up of fluids such as blood which further compress the surrounding brain tissues, causing many neurological problems.

Why is it done?
The most common reason for performing a Burr hole procedure is for haematoma. A Burr hole procedure is performed to remove the collection of blood (haematoma) just below the lining of the brain known as dura. Sometimes, the condition resolves on its own however, in severe cases surgical intervention is required. It is always advised to seek medical opinion as if left untreated, it can be life-threatening.

How is the procedure done?
Burr hole procedure is done under general anaesthesia. The surgical site on the head will be shaved. A small incision is made on the skin over the site of the blood clot. Using a special drill, hole is made into the skull and the firm covering of the brain is opened to access the dura. The fluid within the blood clot is allowed to drain. Any blood clot debris is washed away from the brain to ensure it is completely removed. A temporary small plastic tube (drain) may be placed to allow any residual fluid to be drained out. This is usually removed within 24 to 48 hours. The incision is closed.

How long will it take?
The duration of a burr hole procedure will depend upon your condition. Your doctor will discuss about the procedure in detail.

What happens after the procedure?
After your procedure, you may feel relieved from your previous symptoms. Your vital signs will be closely monitored. You will be on pain management medication for pain on the site of scalp incision. Depending upon your recovery, discharge will be planned with follow-up advice. You are not recommended to drive till further instructions. Don’t do any such activities that can cause a blow to your head.

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FAQs
Why I might need a burr hole surgery?
Burr hole procedure is performed to treat medical conditions of brain such as:

• Acute subdural hematoma
• Chronic subdural hematoma
• An epidural hematoma
• Brain Tumour
• Hydrocephalus

Does burr hole procedure require open surgery?

Burr hole procedure is a less invasive procedure. Burr hole procedure are minimally invasive compared to craniotomy.

How do I prepare myself for burr hole procedure?
Burr hole surgery can sometimes be performed as an emergency procedure. If you are undergoing this:

• Undergo the pre-operative tests or investigations suggested by your Neuro Surgeon.
• Inform your surgeon about any medication taken.
• Stop smoking before your surgery, as it delays the healing.
• Follow the directions given to you about eating or drinking before surgery.
• You can always discuss your concerns or ask questions to your doctor.