Craniotomy

If you are needing a Craniotomy surgery Schedule an appointment with one of our Neurosurgeons as soon as possible.

Craniotomy Surgery

A craniotomy is a complex but essential surgical procedure used to access the brain by temporarily removing a portion of the skull. Neurosurgeons perform craniotomies to treat a variety of serious conditions such as brain tumors, traumatic brain injuries, aneurysms, epilepsy, and other neurological disorders. This procedure allows for precise treatment while protecting critical brain structures.

What Is a Craniotomy?

A craniotomy involves making an incision in the scalp and removing a section of the skull bone—called a bone flap—to expose the brain. Once the underlying issue is addressed, the bone flap is usually replaced and secured with small plates and screws.

Craniotomies are tailored to the specific location of the brain condition. The size and placement of the opening vary depending on the area of the brain that needs to be reached. Advanced imaging and surgical planning help ensure accuracy and safety.

When Is a Craniotomy Needed?

Neurosurgeons recommend a craniotomy when less invasive treatments are not sufficient. It is commonly performed for conditions such as:

  • Brain tumors (benign or malignant)

  • Aneurysms or arteriovenous malformations (AVMs)

  • Traumatic brain injury or skull fractures

  • Intracranial bleeding or hematomas

  • Epilepsy surgery

  • Chiari malformation

  • Hydrocephalus requiring shunt placement

Prompt surgical intervention can relieve pressure, remove dangerous growths, and prevent permanent neurological damage.

What to Expect During the Procedure

The surgery begins with anesthesia to ensure the patient is completely asleep and pain-free. The neurosurgeon then:

  1. Makes a carefully planned incision in the scalp.

  2. Temporarily removes a portion of the skull.

  3. Treats the underlying condition, such as removing a tumor, repairing blood vessels, or relieving pressure.

  4. Replaces and secures the bone flap.

  5. Closes the incision with sutures or staples.

The entire process can take several hours, depending on the complexity of the condition being treated.

In some cases—such as certain brain tumor or epilepsy surgeries—awake craniotomy may be performed. During this procedure, the patient is awake for part of the surgery so the surgeon can monitor brain function and avoid damaging areas related to speech or movement.

Benefits of a Craniotomy

While a craniotomy is a major surgery, it offers significant benefits:

  • Direct access to the brain for accurate diagnosis and treatment

  • Relief from symptoms like headaches, seizures, or weakness

  • Prevention of further brain damage in emergencies

  • Improved quality of life following successful treatment

Advanced techniques and technology have made craniotomy safer, with reduced risks and faster recovery compared to the past.

Recovery and Rehabilitation

Recovery time depends on the type of craniotomy and the underlying condition. Most patients stay in the hospital for a few days and may need physical therapy or rehabilitation afterward.

Follow-up care includes regular imaging, neurological evaluations, and monitoring for potential complications such as infection or swelling. Most patients gradually return to normal activities within weeks or months.

If you would like to speak to a Neurosurgeon, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.