Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Decompressive craniectomy

Decompressive craniectomy

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    Frequently Asked Questions :

    Q1: What are the risks associated with decompressive craniectomy?

    A1: Risks may include infection, bleeding, neurological deficits, and complications related to anesthesia.

     

    A2: Recovery varies but typically ranges from several weeks to months, depending on the individual’s health and extent of surgery.

     

    A3: Yes, in selected cases, it can significantly improve survival rates and functional outcomes.

     

    Decompressive craniectomy

    About Decompressive Craniectomy

    Decompressive craniectomy is a surgical procedure performed to alleviate intracranial pressure by removing a portion of the skull. This procedure is crucial in treating severe head injuries, stroke, and other conditions that lead to increased pressure within the skull. Dr. Sandeep Vaishya, a renowned neurosurgeon, specializes in this life-saving operation, ensuring the best possible outcomes for his patients.

    Causes of Decompressive Craniectomy

    Decompressive craniectomy may be indicated in various medical situations, including:

    • Traumatic Brain Injury: Severe head injuries that cause swelling or bleeding in the brain.
    • Stroke: Ischemic or hemorrhagic strokes can lead to increased intracranial pressure.
    • Brain Tumors: Tumors can increase pressure within the skull, necessitating removal.
    • Infections: Conditions like encephalitis can cause swelling of brain tissue.
    • Cerebral Edema: Swelling in the brain due to various causes can require intervention.

    Types of Decompressive Craniectomy

    There are several types of decompressive craniectomy, including:

    • Bifrontal Craniectomy: Involves removing bone from the frontal lobes of the brain.
    • Hemicraniectomy: Removal of one side of the skull, often used in cases of severe trauma.
    • Suboccipital Craniectomy: Focused on the lower back of the skull, often to relieve pressure on the cerebellum.

    Symptoms Indicating the Need for Decompressive Craniectomy

    Patients experiencing the following symptoms may require decompressive craniectomy:

    • Severe headaches
    • Nausea and vomiting
    • Altered consciousness or confusion
    • Weakness or paralysis on one side of the body
    • Seizures

    Diagnosis

    The diagnosis leading to decompressive craniectomy typically involves:

    • Physical Examination: Neurological evaluations to assess brain function.
    • Imaging Tests: CT scans or MRIs to visualize brain swelling or bleeding.
    • Intracranial Pressure Monitoring: Measuring the pressure inside the skull may guide the decision for surgery.

    Treatment Procedure

    The treatment process includes:

    1. Preoperative Assessment: Comprehensive evaluation by Dr. Sandeep Vaishya and his team.
    2. Surgical Procedure: General anesthesia is administered, followed by the removal of the affected portion of the skull.
    3. Postoperative Care: Intensive monitoring in a recovery unit to ensure patient safety and recovery.
    4. Rehabilitation: Tailored rehabilitation programs to aid recovery and improve quality of life.

    Cost of Treatment and Stay in India

    The cost of decompressive craniectomy in India varies based on several factors, including the complexity of the case and the hospital’s location. On average, the cost ranges from INR 1,50,000 to INR 3,00,000. This includes the surgical procedure, hospitalization, and post-operative care.

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