The severe headache after 20 days of craniotomy is considered to be caused by increased intracranial pressure, which is commonly caused by cerebral hemorrhage, intracranial infection, etc. It is necessary to treat the symptoms first, and then choose the appropriate way to treat the cause of the disease, such as medication, surgical treatment and so on.
Craniotomy 20 days after a severe headache, generally due to increased intracranial pressure, patients need to drip mannitol, glyceryl fructose, sodium heptapeptide and other drugs to reduce intracranial pressure, improve the symptoms.
1. Cerebral hemorrhage: severe headache 20 days after craniotomy, if it is caused by cerebral hemorrhage, you can follow the doctor’s instructions with aminomethylenic acid, tranexamic acid, phenol sulfonyl ethylamine and other hemostatic drugs. Treatment is based on surgery, such as craniotomy hematoma removal, debridement and decompression, etc., to remove hematoma and reduce the damage caused by hematoma to the surrounding brain tissue.
2. Intracranial infection: For intracranial infection caused by bacteria, sensitive antibiotics should be applied according to the drug sensitivity culture, such as more than 2 generations of cephalosporin antibiotics, such as ceftriaxone, ceftazidime, or vancomycin and meropenem. Chloramphenicol, vancomycin and other antibiotic drugs.
If it is caused by a fungal infection, antifungal drugs such as fluconazole and amphotericin B can be used as prescribed.
Severe headache after 20 days of craniotomy should be treated by a doctor in time to avoid delay.