After a road accident or a fall, the right care in the first hours matters most. This page explains what to do immediately, the warning signs that need an emergency department, and how a neurosurgeon for accident injuries provides head injury treatment in Hyderabad and spine injury treatment.
Head and spine injury: the quick answer
After a head or spine injury, call 108 or go to the nearest emergency department. CARE Hospitals, HITEC City has a 24-hour emergency department with neurosurgery support. To reach Dr. Arun Reddy M at any time, call +91 88860 38800.
What to do immediately after an accident
If you witness or are involved in an accident:
- Call 108 for an ambulance
- If a neck or back injury is possible, do not move the person or bend their neck unless they are in immediate danger
- Keep them still and warm
- Do not give food or drink
Warning signs after a head injury, even a “minor” one
Watch for these signs in the hours and days after any head injury:
- Loss of consciousness, even briefly
- Repeated vomiting
- Worsening headache
- Drowsiness or confusion
- A seizure
- Clear fluid or blood from the nose or ears
- Weakness or numbness
- Unequal pupils
Any of these is an emergency — go to the nearest emergency department immediately.
Warning signs of a spine injury
- Neck or back pain after a fall or accident
- Numbness, tingling or weakness in the arms or legs
- Loss of bladder or bowel control
Any of these needs emergency assessment before safe spine injury treatment can be planned.
Types of injuries neurosurgeons treat
- Concussion
- Skull fracture
- Bleeding around or inside the brain (extradural and subdural haematoma)
- Spinal fractures
- Spinal cord injury
Delayed bleeding in older people
A chronic subdural haematoma is a slow bleed that can appear days or weeks after a minor fall, especially in older adults and people on blood thinners. The signs are a new headache, confusion, weakness, or a change in walking or behaviour. Subdural hemorrhage treatment ranges from close observation to an operation that drains the clot.
How injuries are treated
Most injuries are first assessed with a CT scan and close observation. Surgery is needed when a blood clot in the brain or pressure on the spinal cord must be relieved — for example, craniotomy surgery to remove a blood clot and relieve pressure, or spinal decompression and fixation to protect the spinal cord.
Decompressive craniectomy: relieving pressure on the brain
When the brain swells after a severe head injury or a large stroke, the pressure inside the skull can rise to dangerous levels. In a decompressive craniectomy, the neurosurgeon temporarily removes a section of the skull so the swollen brain has room to expand, lowering the pressure and protecting brain tissue. The bone is kept safely and replaced, or a custom implant is fitted, in a later operation called cranioplasty once the swelling has settled, usually after several weeks to a few months. This is emergency, life-saving surgery done in a hospital with a neurosurgical ICU.
Families asking about decompressive craniectomy in Hyderabad should look for a hospital with 24-hour CT scanning, neurosurgical cover and an intensive care unit.
For a head injury, which doctor should you consult?
Many families ask which doctor to consult for a head injury, or search urgently for a neurosurgeon after a car accident. A neurosurgeon is the specialist for head injuries with bleeding, a skull fracture or brain swelling. When looking for a 24-hour neurosurgeon in Hyderabad, what matters most is quickly reaching a hospital with 24-hour CT scanning, neurosurgery and intensive care, an experienced neurosurgeon available round the clock, and rehabilitation support afterwards. Dr. Arun Reddy M, MBBS, DNB Neurosurgery, FCVS (Japan), is a Neurosurgeon at CARE Hospitals, HITEC City, which has a 24-hour emergency department. Patients and families can call +91 88860 38800 at any time.
Recovery and rehabilitation
Recovery depends on the injury. Physiotherapy and rehabilitation start as early as safely possible, follow-up scans track healing, and returning to work and driving should wait until the doctor clears them.