About Epidural Hematoma
Key Highlights
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Life-Saving Intervention: Rapidly relieves pressure on the brain, preventing fatal brain herniation.Prevents Permanent Damage: Timely surgery can significantly reduce the risk of long-term neurological deficits like paralysis or speech problems.Direct Source Control: Allows the neurosurgeon to directly visualize and stop the bleeding artery or vessel.listrongRestores Brain Function:/strong By removing the clot, normal blood flow and cerebrospinal fluid dynamics can be restored./lilistrongDefinitive Treatment:/strong Provides the most effective and immediate solution for a rapidly expanding epidural hematoma./li/ul
Who is this surgery for?
- Acute traumatic head injury with a confirmed epidural hematoma on CT scan.
- Signs of increased intracranial pressure, such as a deteriorating level of consciousness, severe headache, vomiting, or unequal pupil size (anisocoria).
- A hematoma larger than 30 milliliters in volume or causing more than 15 millimeters of midline shift in the brain.
- Neurological deterioration following a head injury, even with a initially small hematoma.
- Failure of non-surgical management (close observation) in a conscious patient whose condition begins to decline.
How to prepare
- Emergency Stabilization: Immediate securing of the airway, breathing, and circulation (ABCs) in the emergency room.
- Rapid Imaging: Urgent non-contrast CT scan of the head to confirm diagnosis, size, and location of the hematoma.
- Medical Management: Administration of medications to reduce brain swelling (e.g., mannitol, hypertonic saline) and prevent seizures.
- Informed Consent: Quick explanation of the critical need for surgery to the patient's family, outlining the risks and urgency.
- Pre-operative Checks: Blood tests, IV line placement, and shaving of the surgical site on the head in the operating room.
Risks & possible complications
- Surgical Risks: Infection, bleeding at the surgical site, or reaction to anesthesia.
- Neurological Injury: Potential for new or worsened brain damage, leading to weakness, numbness, speech difficulties, or vision problems.
- Seizures: Risk of post-operative seizures, which may require long-term medication.
- Hematoma Recurrence: The blood clot may re-accumulate, potentially requiring a second surgery.
- Cosmetic Concerns: Scarring at the incision site and possible skull deformity.
- Persistent Deficits: Some pre-existing neurological problems may not fully resolve even after successful surgery.
Recovery & hospital stay
- ICU Monitoring: Initial recovery in the Intensive Care Unit (ICU) for close monitoring of neurological status and vital signs.
- Pain Management: Medications are provided to control post-operative headache and incision pain.
- Gradual Mobilization: Patients are slowly helped to sit up and walk as their condition stabilizes.
- Rehabilitation: Physical, occupational, and/or speech therapy may be required to regain strength, coordination, and cognitive function.
- Follow-up Care: Regular follow-up visits with the neurosurgeon, including repeat CT scans to monitor healing.
- Activity Restrictions: Avoidance of contact sports, heavy lifting, and strenuous activity for several months as advised by the surgeon.
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Typical hospital stay: 7-14 days
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Expected recovery time: 3-6 months for initial recovery; full neurological recovery can take up to a year or more
Frequently Asked Questions
If you are considering epidural hematoma in India, these questions and answers can help you make a confident, informed decision.
Popular choices for epidural hematoma in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform epidural hematoma. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for epidural hematoma compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 500 Thousand | 7-14 days | ~ 3-6 months for initial recovery; full neurological recovery can take up to a year or more | Know More |
| Turkey | TRY 525 Thousand – 1.75 Million | 7-14 days | ~ 3-6 months for initial recovery; full neurological recovery can take up to a year or more | Know More |
Top hospitals for Epidural Hematoma in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing epidural hematoma.
Ananya Iyer, a 42-year-old software engineer...
Ananya Iyer, a 42-year-old software engineer and mother of two, was an avid runner. While on her morning jog, she tripped on an uneven pavement and struck her head on the curb. Initially, she felt dazed but refused help, insisting she was fine. Over the next few hours at work, she developed a worsening headache, nausea, and confusion. Her colleague noticed her slurred speech and called an ambulance. In the ER, a CT scan revealed a rapidly expanding epidural hematoma. The neurosurgeon, Dr. Chen, explained that the high-pressure blood clot was compressing her brain and required immediate evacuation to prevent permanent damage or death. Ananya was terrified for her children. She underwent an emergency craniotomy, where Dr. Chen removed the clot and sealed the bleeding artery. Post-surgery, she spent a night in the ICU and was remarkably alert within 24 hours. After a week in the hospital for monitoring, she was discharged with a full neurological recovery. Her emotional journey was one of profound fear, grappling with mortality and her role as a mother, transitioning to immense gratitude and a new appreciation for life's fragility. She returned to running three months later, always wearing a helmet.
Neurosurgeons for Epidural Hematoma
Explore experienced neurosurgeons who regularly perform epidural hematoma and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada