Subdural Hematoma Evacuation & Emergency Craniotomy
Treatment of a subdural hematoma depends on its age and size. Chronic (liquefied) collections are typically drained through one or two small burr holes with a temporary drain; acute clots require a craniotomy to remove the blood and relieve pressure. Dr. Daggubati provides emergency neurosurgical care across the region’s hospitals and follows patients closely afterward, including decisions about restarting blood thinners and the option of middle meningeal artery embolization to reduce recurrence.
Who it is for
- Chronic subdural hematoma with symptoms or mass effect
- Acute subdural or epidural hematoma with neurological compromise
- Intracerebral hemorrhage causing pressure in selected cases
Why we use it
- Rapid relief of pressure and symptoms
- Burr-hole drainage is a short procedure, often under sedation in frail patients
How the procedure is done
- Burr holes: one or two small openings, drainage of the fluid collection, a soft drain for 24–48 hours.
- Craniotomy: a bone flap is removed, the clot evacuated, bleeding controlled and the bone replaced (or, in severe swelling, temporarily left out).
- Close monitoring in a neuro-intensive care setting.
Recovery
Hospital stay of 2–5 days for chronic subdural drainage, longer for acute hemorrhage. Lying flat for a period after drainage helps the brain re-expand. Repeat CT scans track resolution over weeks. Detailed guidance is in the post-operative packet.
Risks, stated plainly
Recurrence, seizure, infection, new bleeding, neurological deficit. Dr. Daggubati reviews the specific risks for your situation in person before any decision is made.
Preparing for this surgery
Dr. Daggubati has written detailed guides for this procedure covering medications to stop, prehabilitation, the day of surgery, and a week-by-week recovery timeline.