Sarvodaya Hospital, Sector 8, FaridabadNear Escorts Mujesar Metro (Violet Line)
Dr. Naresh PanwarNeurosurgeon · Brain & Spine · FaridabadBook appointment

Brain · Neurotrauma

Head Injury Treatment in Faridabad

After an accident, fall or blow to the head, the first hours matter most. Know the danger signs — and know that many injuries are safely observed.

Consultations at Sarvodaya Hospital, Sector 8Patient education · Updated 4 November 2026
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Understanding Head Injury Treatment

Head injury is one of the commonest reasons families in Faridabad meet a neurosurgeon — after two-wheeler accidents, falls from roofs or stairs, and workplace injuries. Doctors grade traumatic brain injury (TBI) as mild, moderate or severe, mainly using the Glasgow Coma Scale, which scores eye opening, speech and movement.

A mild injury, often called concussion, may cause brief confusion, headache or dizziness with a normal scan. More serious injuries can fracture the skull or cause bleeding: an extradural haematoma (EDH) between the skull and the brain's covering, a subdural haematoma (SDH) beneath it, or bruising and swelling within the brain. A person can seem fine at first and worsen hours later.

Most head injuries do not need an operation. Care ranges from observation and medicines to intensive care and urgent surgery. Dr. Naresh Panwar's listed areas of work include the management of critical neurological and head-injury patients, and he is a member of the Neurotrauma Society of India (NTSI).

Common symptoms

Symptoms vary from person to person. Having one of these does not mean you have this condition.

Loss of consciousness

Even a brief blackout after injury needs medical assessment.

Worsening headache

Headache increasing over the hours after injury can signal bleeding.

Vomiting

One episode can occur in mild injury; repeated vomiting is a warning sign.

Confusion or memory gap

Not remembering the event, repeating questions or behaving unusually.

Fluid from nose or ear

Clear fluid or blood may suggest a skull base fracture.

Dizziness and poor concentration

Common after concussion and usually settles with rest.

Possible causes & risk factors

Road traffic accidents

Especially two-wheeler riders and pillion passengers without helmets.

Falls

From height, from stairs, or simple slips in older adults.

Blood thinners in older adults

Even a minor bump can bleed in people taking aspirin or anticoagulants.

Workplace and sports injuries

Construction, factory and contact-sport injuries.

When to seek help

Book a routine consultation

  • Persistent headache, dizziness or poor sleep weeks after a mild knock
  • Difficulty concentrating or returning to school or work after concussion
  • Follow-up of a small bleed or fracture that was observed
  • An older adult with new confusion or unsteadiness weeks after a fall

Seek emergency care

  • Loss of consciousness, a seizure or increasing drowsiness — call 112 or go to the nearest emergency department immediately
  • Repeated vomiting or a severe, worsening headache
  • Weakness, slurred speech or unequal pupils
  • Clear fluid from the nose or ears, or a dent in the skull
  • Any head injury in someone on blood thinners, a young child or an older adult, even if they seem well
Call 112 or go to the nearest emergency department.

How it is diagnosed

Emergency assessment

Breathing, circulation and the Glasgow Coma Scale are checked first, and the neck is protected in case of spinal injury.

CT scan of the head

The key emergency test; shows fractures and bleeding within minutes.

Repeat CT

Checks whether a small bleed is growing.

MRI

Looks for subtle injury when symptoms persist despite a normal CT.

Available treatment options

Treatment is chosen after examining you and studying your scans. Many people do well without an operation.

Non-surgical
Observation and symptom care

Mild injuries are often managed with rest, simple pain relief (avoid aspirin unless advised) and watching by a responsible adult.

Non-surgical
Neuro-ICU care

Severe injuries need intensive care: breathing support, control of brain swelling and pressure, and seizure prevention.

Interventional
Pressure monitoring

A small sensor may measure pressure inside the skull to guide ICU treatment.

Surgical
Craniotomy for blood clot

A large EDH or acute SDH pressing on the brain is removed through an opening in the skull.

Surgical
Decompressive craniectomy

Part of the skull bone is temporarily removed to give a severely swollen brain room; it is replaced later.

Surgical
Fracture repair

Bone pushed inward may be lifted and repaired, particularly if the wound is open.

When neurosurgery may be recommended

  • A blood clot large enough to shift or compress the brain
  • Falling consciousness with a surgically treatable cause on CT
  • Raised pressure not controlled by ICU measures
  • Depressed or open skull fractures
  • A persistent CSF leak from a skull base fracture

Procedure overview

A simplified outline. The exact steps depend on your scans and the approach chosen.

  1. Stabilise firstThe emergency team secures breathing and circulation.
  2. Urgent CT and decisionThe neurosurgeon reviews the scan and consciousness level and explains the plan to the family.
  3. Surgery or ICU careSurgery is done under general anaesthesia if needed; otherwise close monitoring continues.
  4. RehabilitationPhysiotherapy, speech and memory therapy start as early as is safe.

Potential benefits, risks & limitations

Potential benefits

  • Relieves pressure on the brain from clots or swelling
  • May limit further damage when done in time
  • Repairs fractures and lowers infection risk in open wounds

Possible risks

  • Re-bleeding or new bleeding
  • Infection, including meningitis
  • Seizures
  • Brain swelling despite treatment
  • Long-term memory, mood or movement problems

Surgery removes pressure but cannot undo damage caused at the moment of impact; outcomes after severe TBI vary widely.

Recovery & follow-up

After concussion, most people improve over days to weeks. Rest for a day or two, then return to activity gradually; avoid alcohol, driving and contact sport until cleared.

After moderate or severe injury, recovery can take months. Families in Ballabhgarh, Greater Faridabad and Palwal should keep a written list of warning signs; our head injury emergency guide is worth keeping handy.

Dr. Naresh Panwar

Why consult Dr. Naresh Panwar

  • Management of critical neurological and head-injury patients is listed among his areas of work at Sarvodaya Hospital
  • Member of the Neurotrauma Society of India (NTSI)
  • Served as Senior Resident at SMS Medical College, Jaipur and in Neurosurgery at RMLIMS, Lucknow
  • Brain haemorrhage surgery is part of his listed neurosurgical practice

Questions to ask your surgeon

Write these down and bring them to your appointment.

  • How serious is the injury on the CT scan?
  • Does the clot need removing now, or can it be watched?
  • What signs should we watch for at home after discharge?
  • When can my family member return to work, school or driving?
  • Will rehabilitation be needed, and where?

Frequently asked questions

Sir par chot lagne ke baad kitni der tak dhyan rakhna chahiye?

Pehle 24 se 48 ghante sabse zaroori hote hain. Is dauran ulti, behoshi, tez sir dard, kamzori ya zyada neend aaye toh turant emergency jaayein ya 112 par call karein.

My father fell and seems fine. Does he need a CT scan?

Older adults, especially on blood thinners, can bleed slowly after a minor fall, so a medical assessment is advisable. Some bleeds appear weeks later.

Should someone with a head injury be kept awake all night?

No, but a responsible adult should stay nearby, check that the person wakes easily and responds normally, and seek help if not.

Where should we go for a head injury in Faridabad?

In an emergency, go to the nearest hospital with emergency and CT facilities — do not delay to reach a particular doctor. For follow-up, call +91 96608 88640 to confirm consultation timings at Sarvodaya Hospital, Sector 8.

Does a skull fracture always need surgery?

No. Many simple fractures heal on their own. Surgery is considered for depressed fractures, open wounds or an associated blood clot.

Appointments

Your brain and spine health deserve a carefully considered plan.

Request a consultation with Dr. Naresh Panwar at Sarvodaya Hospital, Sector 8, Faridabad. Bring your MRI or CT scans and reports, and the care team will help you prepare.

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