Neurotrauma & Head Injury Treatment in Hyderabad
Hospital-based management of traumatic brain injury (TBI), intracranial haemorrhage, skull fractures, and spinal cord injuries.
If an injury may be serious, call local emergency services or go to the nearest emergency department now. Do not wait for a website booking or clinic callback.
What is Neurotrauma?
Neurotrauma encompasses injuries to the brain, spinal cord, and peripheral nervous system caused by sudden external force. Road traffic accidents (RTAs), falls from height, sports collisions, and industrial accidents are the leading causes in Hyderabad and Telangana.
The spectrum ranges from mild concussion to life-threatening severe TBI. Symptoms, examination, imaging, and clinical course determine observation, admission, or surgery. Suspected serious head or spine injury requires local emergency services or the nearest emergency department; hospital teams then coordinate imaging, specialist review, and treatment according to clinical need.
Traumatic Brain Injury
Haematomas (EDH/SDH/ICH), diffuse axonal injury, cerebral contusion — managed with ICP monitoring and surgical evacuation.
Skull Fractures
Depressed and compound fractures with dural tears require operative elevation and repair to prevent infection and neurological deficit.
Spinal Cord Injury
Cervical and thoracolumbar fracture-dislocations treated with early decompression and pedicle-screw stabilisation.
Conditions & Procedures
The neurotrauma team at Yashoda Malakpet manages the full spectrum of acute and sub-acute neurological injuries.
Extradural Haematoma (EDH)
EmergencyEmergency craniotomy or burr-hole evacuation may be required; prognosis depends on the injury, neurological status, timing, and response to treatment.
Acute Subdural Haematoma (ASDH)
EmergencyLarge craniotomy for clot evacuation; outcomes depend heavily on time from injury to surgery.
Intracerebral Haemorrhage (ICH)
UrgentEndoscopic ICH evacuation may be considered for selected clot locations; the approach and expected recovery depend on the individual clinical situation.
Depressed Skull Fracture
UrgentSurgical elevation and repair of dural tears; antibiotic prophylaxis for compound fractures.
Cervical Spine Fracture-Dislocation
EmergencyAnterior or posterior decompression and fusion with pedicle screws; halo-vest immobilisation for stable fractures.
Thoracolumbar Burst Fracture
UrgentPedicle-screw fixation (open or percutaneous); anterior column reconstruction if significant kyphosis.
Chronic Subdural Haematoma (CSDH)
ElectiveBurr-hole washout may be considered for selected chronic subdural haematomas; anaesthesia, admission, and neurological recovery vary by patient.
Penetrating Head Injury
EmergencyWound debridement, dural repair, and careful fragment extraction; antibiotic and antiepileptic cover.
🔬 Endoscopic ICH Evacuation: Minimally Invasive Brain Bleed Surgery
For selected intracerebral haemorrhages, an endoscope may be used through a limited surgical corridor to visualize and evacuate part of the clot. Suitability and the operative approach depend on clot location and size, neurological status, physiology, timing, and alternative treatment options.
Spinal Cord Injury: Urgent Assessment and Individual Timing
Suspected spinal cord injury requires immobilisation, physiological stabilisation, imaging, and urgent specialist assessment. Whether and when decompression or stabilisation is performed depends on neurological findings, spinal instability or compression, associated injuries, physiology, and operative readiness.
Hospital care may coordinate CT or MRI, neurosurgical review, anaesthetic assessment, and theatre preparation. The sequence and timing are determined by the trauma team for the individual patient.
Cervical Spine Injuries
- ✓Odontoid fractures (C2) — stabilised with screw fixation
- ✓C3–C7 fracture-dislocations — anterior corpectomy + fusion or posterior pedicle screws
- ✓Central cord syndrome — decompression preserving upper limb function
- ✓Burst fractures with retropulsed fragments — anterior approach + cage reconstruction
Thoracolumbar Injuries
- ✓Compression fractures — vertebroplasty or kyphoplasty for osteoporotic cases
- ✓Burst fractures — percutaneous pedicle-screw fixation
- ✓Fracture-dislocations — open reduction and long-segment fusion
- ✓Cauda equina syndrome — urgent L1/L2 decompression within hours
Traumatic Brain Injury: Assessment & Surgical Approach
The Glasgow Coma Scale (GCS) and CT brain are the cornerstones of initial TBI assessment. Dr. Sayuj follows internationally accepted Brain Trauma Foundation (BTF) guidelines for surgical decision-making:
| GCS Score | Severity | Typical Management |
|---|---|---|
| 14–15 | Mild TBI / Concussion | CT brain, observation, discharge with head injury advice |
| 9–13 | Moderate TBI | Admission, repeat CT, neurosurgical review, possible surgery |
| 3–8 | Severe TBI | ICU, ICP monitoring, surgical evacuation if haematoma present |
Intracranial pressure (ICP) monitoring is established for patients with severe TBI and abnormal CT findings. Surgical thresholds follow BTF criteria: EDH >30 mL, ASDH clot thickness >10 mm or midline shift >5 mm, and contusions exceeding defined volume thresholds — all warrant urgent operative intervention.
Why Choose Dr. Sayuj Krishnan for Neurotrauma Care?
Hospital-Based Neurosurgical Care
Emergency departments stabilise patients and coordinate neurosurgical assessment or transfer according to clinical need.
Endoscopic Minimally Invasive Techniques
Uses minimally invasive techniques where clinically appropriate; Dr. Sayuj completed a German observership in full endoscopic spine surgery, 2024.
Protocol-Driven Emergency Care
Structured neurotrauma protocols aligned with Brain Trauma Foundation and AO Spine guidelines — not ad hoc decision-making.
Intraoperative Monitoring
Neurophysiological monitoring may be used during selected spinal cord procedures to monitor neural signals and inform intraoperative decisions.
Rehabilitation Planning
Physiotherapy, occupational therapy, and neurorehabilitation are coordinated according to neurological status and clinical readiness.
Individualized Surgical Planning
The operation, hospital team, rehabilitation needs, and follow-up plan depend on the injury pattern and the patient's condition.
Neurotrauma FAQs
Understanding Neurotrauma
Emergency Care
Procedures
Spinal Cord Injury
Assessment
Recovery
Emergency First, Follow-Up by Appointment
For emergency symptoms, call local emergency services or go to the nearest emergency department immediately. Clinic appointments are only for non-emergency follow-up, chronic subdural haematoma review, or post-traumatic complications after initial assessment.