Neurotrauma & Head Injury Treatment in Hyderabad
Expert surgical management of traumatic brain injury (TBI), intracranial haemorrhage, skull fractures, and spinal cord injuries — with round-the-clock neurosurgical coverage at Yashoda Hospital, Malakpet.
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 — which typically resolves with rest — to life-threatening severe TBI, where rapid neurosurgical intervention is the difference between recovery and permanent disability. Dr. Sayuj Krishnan and the Yashoda Malakpet team operate a dedicated neurotrauma pathway to minimise door-to-theatre time.
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 / burr-hole evacuation; excellent outcomes when treated within the "talk and die" window.
Acute Subdural Haematoma (ASDH)
EmergencyLarge craniotomy for clot evacuation; outcomes depend heavily on time from injury to surgery.
Intracerebral Haemorrhage (ICH)
UrgentEndoscopic minimally invasive ICH evacuation — keyhole technique with faster recovery versus open craniotomy.
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 under local anaesthesia — a day-case procedure with rapid neurological recovery.
Penetrating Head Injury
EmergencyWound debridement, dural repair, and careful fragment extraction; antibiotic and antiepileptic cover.
🔬 Endoscopic ICH Evacuation: Minimally Invasive Brain Bleed Surgery
Traditional open craniotomy for intracerebral haemorrhage carries significant risks of additional brain injury. Dr. Sayuj Krishnan employs an endoscopic, keyhole approach — a 2 cm incision, a small burr-hole, and a thin endoscope to suction and irrigate the blood clot under direct vision.
Spinal Cord Injury: Why Speed Matters
Clinical evidence (NASCIS trials and subsequent meta-analyses) demonstrates that decompression of the injured spinal cord within 8–24 hours of injury significantly improves neurological recovery. Every hour of delay risks permanent loss of motor and sensory function below the injury level.
At Yashoda Malakpet, the trauma team activates a dedicated spinal trauma protocol on arrival, enabling CT/MRI imaging, neurosurgical review, and theatre preparation to run in parallel rather than sequentially — dramatically compressing decision-to- incision time.
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?
24/7 Neurosurgical Availability
Round-the-clock on-call cover at Yashoda Hospital Malakpet — no inter-hospital transfer delays for most emergencies.
Endoscopic Minimally Invasive Techniques
German-trained in endoscopic neurosurgery, applying keyhole approaches to ICH evacuation and spinal decompression wherever feasible.
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 during spinal cord injury surgery to protect neural structures and guide the extent of decompression.
Integrated Rehabilitation Pathway
Seamless transition from ICU to neurorehabilitation, working with physiotherapists and occupational therapists from Day 1.
9+ Years, 10,000+ Surgeries
Extensive operative experience including complex redo trauma cases, failed primary fixations, and post-traumatic CSF leaks.
Neurotrauma FAQs
Understanding Neurotrauma
Emergency Care
Procedures
Spinal Cord Injury
Assessment
Recovery
Neurotrauma Emergency or Consultation?
For emergencies, call immediately. For planned consultations regarding head injury follow-up, chronic subdural haematoma, or post-traumatic complications, book an appointment online.