You had surgery on your brain. During surgery, your doctor made a surgical cut (incision) in your scalp. A small hole was then drilled into your skull bone or a piece of your skull bone was removed. This was done so that the surgeon could operate on your brain. If a piece of skull bone was removed, at the end of surgery it is usually put back in place and attached with small metal plates.
Surgery was done for one of the following reasons:
You have spent some time in the intensive care unit and some more time in a regular hospital room. You may be taking new medicines.
You will probably notice itchiness, pain, burning, and numbness along your incision. You may hear a clicking sound where the bone is slowly re-attaching. Complete healing of the bone may take 6 to 12 months.
You will probably have a small amount of fluid underneath the skin near your incision. The swelling may be worse in the morning when you wake up.
You may have headaches. You may notice this more with deep breathing, coughing, or being active. You may have less energy when you get home. This may last for several months.
Your doctor may have prescribed medicines for you to take at home. These may include antibiotics and medicines to prevent seizures. Ask your doctor how long should expect to take these medications. Follow instructions on how to take these medicines.
If you had a brain aneurysm, you may also have other symptoms or problems.
Take only the pain relievers your health care provider recommends. Aspirin, ibuprofen (Motrin), and some other medicines you may buy at the store may cause bleeding.
Eat the foods you normally do, unless your doctor or nurse tells you to follow a special diet.
Slowly increase your activity. It may take up to 3 weeks to get all of your energy back.
Ask your doctor when you may begin driving and return to having sex.
Get enough rest. Sleep more at night, and take naps during the day. Also, take short rest periods during the day.
Keep the incision clean and dry:
You may wear a loose hat or turban on your head. DO NOT use a wig for 3 to 4 weeks.
DO NOT put any creams or lotions on or around your incision. DO NOT use hair products with harsh chemicals (coloring, bleach, perms, or straighteners) for 3 to 4 weeks.
You may place ice wrapped in a towel on the incision to help reduce swelling or pain. Never sleep on an ice pack.
Sleep with your head raised on several pillows. This helps reduce swelling.
Call your doctor if you have:
Craniotomy - discharge; Surgery - brain - discharge; Neurosurgery - discharge; Craniectomy - discharge; Stereotactic craniotomy - discharge; Stereotactic brain biopsy - discharge; Endoscopic craniotomy - discharge
Gasco J, Mohanty A, Hanbali F, Patterson JT. Neurosurgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 19th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 68.
Updated by: Luc Jasmin, MD, PhD, Department of Surgery Providence Hospital, Medford, OR, Department of Neurosurgery at Cedars-Sinai Medical Center, Los Angeles, CA, and Department of Oral and Maxillofacial Surgery at UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
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