After a craniotomy, why does the skull feel thick?
Due to ineffective control of epilepsy with medication, a craniotomy was performed to remove the right temporal lobe.
It has been 1 month and 25 days since the surgery.
I would like to ask the doctor why there is still a thick sensation when touching the right side of the skull.
How long will it take to return to the pre-surgery condition? Additionally, I would like to inquire if there will be a void in the brain after the right temporal lobe resection.
Will engaging in more vigorous activities (such as running, playing sports, jumping, etc.) have an impact on the brain? For example, could the brain become more susceptible to movement due to the absence of a portion of brain tissue? Thank you!
Niming, 30~39 year old female. Ask Date: 2023/07/09
Dr. Zhao Shaoqing reply Neurosurgery
Please consult a medical professional for treatment.
Reply Date: 2023/07/09
More Info
After undergoing a craniotomy, particularly one involving the resection of the right temporal lobe, it is not uncommon for patients to experience a sensation of thickness or abnormal texture in the skull at the surgical site. This sensation can be attributed to several factors related to the healing process and the changes that occur in the skull and surrounding tissues post-surgery.
Firstly, the thick feeling you are experiencing may be due to the presence of scar tissue that forms as part of the healing process. After surgery, the body initiates a repair process that involves inflammation and the formation of fibrous tissue. This scar tissue can create a palpable difference in texture compared to the surrounding areas of the skull. Additionally, the bone itself may undergo changes during the healing process, including remodeling, which can also contribute to the sensation of thickness.
It is important to note that the recovery timeline can vary significantly from person to person. Generally, the initial healing of the skull can take several weeks to months, but complete recovery, including the normalization of sensations and textures, may take longer. In many cases, patients report gradual improvement over the course of several months, but it is essential to have realistic expectations and understand that some changes may persist.
Regarding your concern about the brain being "empty" after the resection of the right temporal lobe, it is true that a portion of the brain has been removed. However, the brain is a highly adaptable organ, and surrounding areas may compensate for the loss of function over time. The brain does not "shake" in the same way that a loose object might; rather, it is encased within the skull, which provides stability. However, engaging in high-impact activities such as running, playing sports, or jumping should be approached with caution. These activities can pose a risk of trauma to the head, especially in the early stages of recovery when the skull and brain are still healing. It is advisable to consult with your healthcare provider regarding the appropriate level of physical activity based on your individual recovery progress.
In summary, the thick sensation in your skull is likely related to the healing process and the formation of scar tissue. Recovery can take time, and while some sensations may improve, others may persist. It is crucial to follow your doctor's recommendations regarding physical activity to ensure a safe and effective recovery. Always keep open communication with your healthcare team to address any concerns and to monitor your progress.
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