Post-Surgery Head Pain and Skull Replacement Timing - Neurosurgery

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Cerebral arteriovenous malformation (AVM)


After surgery, the skull has not been replaced.
The doctor informed that it will take three months to cover it again, as they need to observe the postoperative recovery.
Currently, there are severe headaches, and the doctor mentioned that this is a normal phenomenon before the skull is replaced.
However, due to the need to start rehabilitation and the unbearable headaches, it is difficult to concentrate on the rehabilitation.
Is it normal to have severe headaches with the skull not being replaced? Does it really need to take three months before it can be replaced?

Kevin, 40~49 year old female. Ask Date: 2020/06/23

Dr. Zhang Junwei reply Neurosurgery


The skull may not necessarily cause severe headaches if it is not replaced, as this varies from person to person.
Typically, the skull can be replaced after about two months, but opinions may differ among physicians.

Reply Date: 2020/06/23

More Info


Post-surgery head pain, especially after a procedure involving the skull, can be a complex issue. It is not uncommon for patients to experience significant discomfort during the recovery phase, particularly when the skull has not yet been replaced. The absence of the skull can lead to various sensations, including pressure, sensitivity, and pain, which may be exacerbated by factors such as changes in intracranial pressure or the healing process of surrounding tissues.

In your case, the doctor has indicated that the intense headaches you are experiencing are a normal phenomenon while the skull is not yet in place. This is consistent with what many medical professionals observe. The brain is a sensitive organ, and the protective barrier of the skull plays a crucial role in maintaining a stable environment. Without this barrier, the brain may be more susceptible to external stimuli, leading to pain and discomfort.

Regarding the timeline for replacing the skull, three months is a common duration for observation and healing after such surgeries. This period allows the medical team to monitor the recovery process, ensuring that there are no complications such as infection or excessive swelling. However, the exact timing can vary based on individual circumstances, including the patient's overall health, the nature of the surgery, and how well the patient is healing. Some surgeons may opt to replace the skull earlier if they feel confident in the recovery, while others may prefer to wait longer to ensure optimal healing.

If the pain is significantly hindering your ability to participate in rehabilitation, it is crucial to communicate this to your healthcare provider. They may be able to adjust your pain management plan or suggest alternative therapies to help alleviate your discomfort. Options may include medication, physical therapy, or other interventions designed to help manage pain while you recover.

It is also important to consider that while some discomfort is expected, severe or worsening pain should not be ignored. If you experience symptoms such as nausea, vomiting, or changes in consciousness, it is essential to seek medical attention promptly, as these could indicate complications that require immediate intervention.

In summary, while it is normal to experience intense headaches after skull surgery, especially when the skull has not been replaced, it is essential to maintain open communication with your healthcare team. They can provide guidance tailored to your specific situation and help ensure that your recovery progresses as smoothly as possible. If the pain becomes unmanageable, do not hesitate to reach out for further evaluation and support.

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