
Intracranial hematoma surgery
Surgical evacuation of intracranial bleeding, either as an emergency or as a scheduled procedure, to relieve compression of the brain.
What is it?

When is it indicated?
In elderly people, a pocket of blood can form slowly around the brain, sometimes after a minor forgotten impact. Draining it through a small opening quickly relieves the symptoms.
After significant head trauma, bleeding can rapidly compress the brain. Its emergency evacuation is then decisive.
Some bleeds located within the brain itself can be surgically evacuated when their position allows it and when doing so improves the prognosis.
The CT scan guides the decision: when the hematoma clearly compresses the brain, the operation relieves this pressure and protects brain function.
Preparation
Procedure
General or local anesthesia depending on the type of hematoma
Burr hole or craniotomy depending on the nature of the hematoma
Evacuation of the blood and gentle washing of the cavity
Placement of a temporary drain if needed
Careful closure
Close monitoring in intensive care or in a step-down unit
Follow-up CT scan after the operation
Duration
30 minutes to 2 hours depending on the type of hematoma
Aftercare & Recovery
Symptoms often improve rapidly after evacuation, particularly for chronic hematomas. Any drain is removed after a few days, and a follow-up CT scan verifies proper progress. Recovery then continues gradually, with rehabilitation if necessary.
Risks and side effects
These risks remain rare. Your surgeon will inform you in detail before the procedure.
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