A head injury is any trauma to the scalp, skull or brain — from road traffic accidents, falls, sports or assault. It ranges from a mild concussion to severe traumatic brain injury with bleeding inside the skull (extradural, subdural or intracerebral hematoma). The 'golden hour' after a significant head injury is critical.
Dr. Nilesh Jain has managed thousands of head injury cases in Indore since 2010, providing emergency evaluation, ICU-based management of brain swelling, and urgent surgery — hematoma evacuation and decompressive craniectomy — when needed.
सिर की चोट के बाद बेहोशी, बार-बार उल्टी या बढ़ती नींद खतरे की निशानी है — तुरंत CT scan कराएं। चोट के बाद का पहला घंटा (golden hour) सबसे कीमती होता है।
Danger signs after a head injury
- Loss of consciousness, even briefly
- Repeated vomiting after the injury
- Increasing drowsiness or confusion
- Bleeding or clear fluid from the nose or ear
- Seizure (fit) after the injury
- Weakness of a limb, unequal pupils, or severe worsening headache
- In infants: excessive crying, refusal of feeds, or bulging soft spot
How head injuries are treated
Every significant head injury needs urgent assessment and usually a CT scan. Mild injuries are observed; moderate and severe injuries are managed in the ICU with measures to control brain swelling and pressure.
Surgical clots — extradural and subdural hematomas — are evacuated urgently through a craniotomy; timely surgery for an extradural hematoma is one of the most life-saving operations in all of medicine. Severe diffuse swelling may need decompressive craniectomy, with cranioplasty performed later to restore the skull.
Why patients choose Dr. Nilesh Jain
Dr. Nilesh Jain (M.B.B.S., M.S., M.Ch.) trained in neurosurgery at the Sree Chitra Tirunal Institute, Trivandrum — among India's premier neurosurgical centres — and has been a Consultant Neurosurgeon in Indore since 2010. He is Associate Professor in the Department of Neurosurgery (SAIMS) and holds a 4.8★ rating from 190+ Google reviews. Consultations are unhurried, investigations are advised only when needed, and surgery is recommended only when it genuinely helps.