ADVERTISEMENT

Q. I was left with a hole in the skull after hematoma evacuation. Is it safe?

Answered by
Dr. Sudheer Ambekar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 08, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

Seven months ago, I had a serious head injury. That time, I was left with a small hole in the skull after extradural hematoma evacuation. Then, I had no discomfort in the head. Now, I have terrible tension around the back of the head and dull pressure and pain next to the hole. I feel hyperemotional, frightened, extreme anxiety and jaw clenching. I had none of these for seven months post surgery. Is it safe to live with this hole? What is underneath it? Will it affect my life? Why am I getting sudden extreme head tension and dull aches? From yesterday, I am taking beta blockers for stress and tension. My neurologist said that I am free from brain damage. But, I need more advice.

#

Hi,

Welcome to icliniq.com.

A small piece of the skull bone could be cut and the hole in the bone was made. According to the reports (attachment removed to protect patient identity), there is no residual brain damage. Under these circumstances, I can explain your headache as follows.

The pain around the burr hole may be due to fibrosis and scar formation, which makes the scalp tough. Skin traction around the burr hole may be due to this scar formation. Treatment is usually symptomatic with pain medications.

The headache may also be related to post-traumatic stress disorder. You should see a psychiatrist for diagnosis and therapy. Treatment may include antidepressants and behavioral therapy.

Given that there is no evidence of residual head injury, your headache may be unrelated to the prior injury. It may simply be tension headache, which is very common. Treatment is with pain medications and avoiding the stressors.

For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Thank you doctor,

Is it safe to live with this open hole? Is it common to leave the hole open instead of putting a plate? Will it result in delayed onset of brain damage or headaches? Is it fine to massage the skin over the hole?

#

Hi,

Welcome back to icliniq.com.

Yes, it is safe to live a normal life with the hole in the skull. Many patients, who undergo surgery for traumatic brain injury or for other conditions such as tumor, have these holes.

  • Plates and screws are used to fix the bone flap in place and not to close the hole.
  • If you have recovered from the initial injury, extradural hematoma has a very good outcome and there is almost zero chance that you will have delayed sequel.
  • It is fine to massage the skin around the hole, but should not cause any harm.

For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Do antidepressants cause low sex drive?

Do you have any psychological issues like depression, anxiety or even simple stress ... I am suffering with anxiety and depression and take numerous medications such as Prozac, Klonopin, Trazodon...   Read full

What are the drugs of choice for social anxiety?

.. read your query and understand your concern. Social anxiety disorder is really a disturbing condition, but can be controlled with proper medicines and behavior therapy. Anxiety disorders occur in episodes and sometimes follow waxing and waning c...   Read full

Suffering from OCD(Obsessive Compulsive Disorder). Taking medicines, but I do not feel completely good. Please help.

My mom is diagnosed with "Idiopathic macular epiretinal membrane". Her eyesight is now 0.3 with glass. What is the pros and cons of taking correcting surgery?   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Alzheimer's Disease - an Overview
Alzheimer's is a neurodegenerative condition that can seriously hamper one's day to day activities and quality of life. ...  Read more»
My father is experiencing hospital delirium after ankle surgery. Please help.
Hi doctor, I am concerned about drug interaction for my father. He is experiencing hospital delirium after surgery. My ...  Read more»
Is there a chance for dengue reattack in the same season?
Hi doctor, I was diagnosed with dengue towards the end of last month. I was hospitalized for five days. I went through...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.