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Neurosurgery

Brain surgery

Before, During and After Surgery

Brain surgery

Brain Surgery, also known as Craniotomy, is used to treat surrounding structures and problems in the brain. 


General or local anesthesia is usually applied, preventing you from feeling pain during the intervention. In general anesthesia, you will remain asleep, while in local, you will be awake. You will likely be given medicine to help you relax.


Before the brain surgery procedure

The Neurosurgeon will ask questions about your symptoms, lifestyle, medical history, and if you are taking any medications. Please advise the doctor if you are drinking heavily, more than 1 or 2 drinks per day, or you are pregnant.


The Neurosurgeon may perform various laboratory and imaging tests before undergoing brain surgery.


Follow all the instructions of your doctor, you must fast before Brain Surgery, don't eat or drink for 8 hours before the procedure.


During the Brain Surgery procedure

Brain Surgery is a procedure that is performed within the operating room of a hospital. The length of the surgery will depend on the cause of the problem.


  • The hair in the scalp area will be shaved

  • The Neurosurgeon will clean the area

  • The Neurosurgeon will cut through the scalp. The cut will be made where the problem is in the brain

  • The Neurosurgeon makes an opening in the skull and removes a piece called a bone flap


If feasible, the Neurosurgeon will make a smaller cut and insert an endoscope with a small camera. Brain Surgery will be done with instruments put through the endoscope. A CT SCAN or MRI -  Magnetic Resonance Imaging can help the Neurosurgeon visualize the area until it reaches the indicated place in the brain.


During surgery, the Neurosurgeon can:


  • Remove an aneurysm to stop bleeding

  • Remove abnormal brain tissue

  • Remove a tumor or part of it for a biopsy

  • Draining blood or an infection

  • Release a nerve

  • Take a sample of brain tissue to detect diseases of the nervous system


The bone flap is usually replaced after surgery, using small metal plates, wires, or sutures. This is called a craniotomy.


If the surgery involved an infection, tumor, or the brain was inflamed, it is possible that the bone flap will not reposition there; This is called a craniotomy. In future surgery, the bone flap may be repositioned there.


After the procedure Brain Surgery 

After Brain Surgery, you will be taken to a recovery room.

The Neurosurgeon will check that your brain is working correctly; it will probably need oxygen for a few days. You may need to stay in the hospital for 3 to 7 days. 


The head of your bed will remain raised; this will help reduce the face or head's inflammation, which is normal.
The Neurosurgeon will give you medications to relieve pain.
Recovery time will depend on the type of disease you are treating and the type of surgery.
Once you are discharged, follow all your Doctor's instructions, you may have a speedy recovery.

¿Why do I need brain surgery?


The Neurosurgeon generally recommends this procedure to treat:


  • Blood clots

  • Damage to tissues covering the brain

  • Some brain diseases like Parkinson's disease

  • Weaknesses in the blood vessels

  • Intense facial pain or neuralgia

  • Epilepsy (Seizures)

  • Skull fracture

  • Infections in the brain

  • Inflammation of the brain (Hydrocephalus)

  • Bleeding in the brain

  • Brain-Tumor

When consulting your doctor, try to keep a record of your pain with a detailed description of the symptoms, duration, and what you think triggered them. Also, mention any medications you are taking.