Craniotomy cost in Malaysia

Treatment and Cost

28

Total Days
In Country

2 No. Travelers

5 Day in Hospital

23 Days Outside Hospital

Treatment cost starts from

USD 20000

Hospitals

About the Craniotomy

Craniotomy surgery is one of the most common types of brain surgery conducted to treat a brain tumor. It mainly aims at removing a lesion, tumor, or a blood clot in the brain by opening a flap above the brain to access the targeted area. This flap is removed on a temporary basis and again put in place when the surgery is done. Around 90 percent of the cases of brain tumors are diagnosed in adults aged between 55 and 65. Among children, a brain tumor is diagnosed within an age range of 3 to 12 years.

Craniotomy procedures are conducted with the help of magnetic resonance imaging (MRI) scans to reach the location precisely in the brain that requires treatment. A three-dimensional image for the same is achieved of the brain in conjunction with localizing frames and computers to view a tumor properly. A clear distinction is made between abnormal or tumor tissue and normal healthy tissue and to access the exact location of the abnormal tissue.

Who requires a craniotomy?

In a minimally invasive craniotomy procedure, a burr hole or a keyhole may be created to access the brain to fulfill the following purposes:

  • To drain out cerebrospinal fluid in case of hydrocephalus by inserting a shunt into the ventricles
  • To treat Parkinson’s disease by inserting a deep brain stimulator (DBS)
  • To insert an intracranial pressure monitor
  • To conduct needle biopsy, where a small sample of abnormal tissue is removed for study
  • For stereotactic hematoma aspiration, in which a blood clot is drained out
  • For insertion of an endoscope to clip aneurysms and for the removal of small tumors

When there are complex craniotomies involved, the procedure may be referred to as a skull base surgery.  In this kind of surgery, a small portion of the skull is removed from the bottom of the brain. This is the region where delicate arteries, veins, and cranial nerves exit the skull. Complicated planning is done to plan such craniotomies and understand the location of the lesions. This type of approach is usually employed for:

  • The removal or treatment of large brain tumors and aneurysm in the brain
  • Treatment after a skull fracture or major injury like a gunshot
  • The removal of a malignant tumor affecting the bony skull

Primary brain tumors are much less common than secondary brain tumors. Primary ones are found to originate very close to the brain itself or in the tissues very close to it, such as the covering membranes of the brain, including the meninges, cranial nerves, pineal, or pituitary gland. It begins with normal cells, which at a later period undergoes some mutational errors in their DNA. The mutation triggers cells to grow and divide at a very high rate while healthy cells keep dying around it. This results in a mass of abnormal cells which gives rise to a tumor. Unlike primary tumors, the secondary tumors begin as cancer elsewhere and spread to the brain.

Symptoms of brain tumor

  • Different patterns of a headache
  • Headaches get more frequent and acutely painful
  • Nausea
  • Blurred vision, double vision, or loss of peripheral vision
  • Loss of sensation in the arm or any leg gradually
  • Balance difficulty
  • Speech problems with confusion in simple matters
  • Hearing problems
  • Personality change
  • Sudden seizures and attacks or bouts of pain

Types of Craniotomy

No matter what the goal of the surgery is, it is best to ensure that the incision is made to address the intracranial lesion keeping some principles in mind. A wide variety of intracranial processes can be done via a craniotomy with a different variety of incisions. Some of these variations include frontal craniotomy, pterional craniotomy, temporal craniotomy, decompression craniectomy, and suboccipital craniotomy.

How is Craniotomy performed?

  • An intravenous line is first placed in the arm and general anaesthesia is employed while the patient lies on the operating table.
  • When the patient is no more awake, the head is placed in a 3-pin skull fixing the device. This is attached to a table and keeps the head in a fixed position all throughout the procedure.
  • An insertion of a lumbar drain is made in the lower back to drain out the cerebrospinal fluid. A relaxation drug for the brain named mannitol can be administered at this stage.
  • With an antiseptic, the skull is prepared and an incision is made usually behind the hairline. A good cosmetic result is achieved after the surgery and a hair sparing technique, which requires shaving only one-fourth inch-wide area along the incision proposed is aimed. At times, the total area of the incision may be shaved.
  • The skin and muscles are then removed from the bone and folded back, burr holes are made in the skull using a drill.
  • A saw is introduced through the holes made and cuts the bone flap’s outline. The protective covering of the brain named dura is exposed after the craniotome (the saw) removes the bone flap. This bone flap is kept aside securely to be attached back again after the surgery.
  • Once the dura is opened with surgical scissors, the surgeon folds it back to access the brain. There are retractors placed on the brain to have a corridor opened gently in the brain to address the region requiring removal or repair. 
  • Loupes are used by neurosurgeons, which are special magnifying glasses or an operating microscope to get a view of the delicate nerves and vessels.
  • The brain is very tightly enclosed within the skull and hence, removal of tissues cannot be done easily to repair problems.
  • Therefore, a variety of tools and instruments are employed to work in the deep circuits of the brain like drills, lasers, ultrasonic aspirators (used to break tumours and have the pieces suctioned), dissectors, long handled scissors, and of course computer-aided guidance.
  • Evoked potential monitoring may also be employed to stimulate the specific cranial nerves and the responses generated are monitored. This step ensures that the nerves are functioning properly and not getting damaged as a result of the surgery.
  • After the problem is rectified, the retractors are released and dura is closed along with sutures and the bone flap is placed in its original position and secured with titanium screws and plates. These screws and plates remain permanently in place to support the region and can be felt under the skin.
  • A drain can also be kept as is for some time. It helps collect blood and fluids from the area that is subjected to the surgery. T
  • he skin and muscles are sutured together and a soft turban-like adhesive is placed as dressing over the incision.

Recovery from Craniotomy

  • The patient is shifted to a recovery room where vital signs are monitored after he or she is in complete senses and the effect of the anaesthesia completely wears off.
  • Drowsiness, nausea, and headache are common in craniotomy recovery surgery. Hands, fingers, and toes must be moved frequently to avoid the formation of blood clots.
  • Anticonvulsant medications may be provided and a nurse may keep asking simple questions to figure out alertness.
  • Hospital stay varies from two to three days or even two weeks, depending on the complications that may result.
  • After discharge, keep away from strenuous activities. Some exercises may be prescribed for the slow movement of head and neck.
  • You should notify your doctor about any increase in temperature or infection observed at the sites of the incision. Bathing instructions should be strictly followed.
  • It almost takes around two to eight weeks for complete recovery. Keep visiting your doctor for follow-up checkup or as instructed. Contact your doctor immediately in case of loss of mental function, stroke, seizure, or nerve damage.

Patient Stories

Frequently Asked Questions

How much does Craniotomy cost in Malaysia?

USD 20000 is the starting cost of Craniotomy Surgery in Malaysia. Many multispeciality hospitals which are MSQH certified are approved to operate a Craniotomy in Malaysia

What are the factors affecting the cost of Craniotomy in Malaysia?

Craniotomy cost in Malaysia varies from one hospital to the other. The cost quoted by some of the best hospitals for Craniotomy in Malaysia generally covers the pre-surgery investigations of the patient. The comprehensive Craniotomy package cost includes the cost of investigations, surgery, medicines and consumables. A prolonged hospital stay due to delayed recovery, new diagnosis and complications after surgery may increase the cost of Craniotomy in Malaysia.

Which are some of the best clinics in Malaysia for Craniotomyt?

There are many hospitals that perform Craniotomy in Malaysia. For quick reference, the following are some of the leading hospitals for Craniotomy in Malaysia:

  1. Parkway Pantai
How many days does it take to recover post Craniotomy in Malaysia?

After discharge from the hospital, the patient has to stay for another 28 days in the country for complete recovery. This time frame is important to ensure that the surgery was successful and the patient is fit to fly back.

Which are some of the other popular destinations for Craniotomy?

One of the topmost destinations for Craniotomy is Malaysia. It has a variety of accredited hospital, affordable cost of treatment and some of the best medical fraternity. However, there are other countries as mentioned below that are popular for Craniotomy as well:

CountryCost
IndiaUSD 4600
IsraelUSD 32000
MalaysiaUSD 20000
SpainUSD 31000
ThailandUSD 30000
TunisiaUSD 13000
TurkeyUSD 9000
How much are the other expenses in Malaysia apart from the cost of Craniotomy?

Apart from the cost of Craniotomy, the patient is also required to pay additionally for daily meals and guest house accommodation. The extra charges may start from USD 50 per person.

Which are the best cities in Malaysia for Craniotomy Procedure?

The following are some of the best cities for Craniotomy in Malaysia:

  1. Kuala Lumpur
How many days does one have to spend in the hospital for Craniotomy in Malaysia?

The patient is supposed to stay at the hospital for about 5 days after Craniotomy for monitoring and care. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.

How many hospitals offer Craniotomy in Malaysia?

There are more than 1 hospitals that offer Craniotomy in Malaysia. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.

FAQ's Related to Malaysia

Which are the popular multispecialty hospital groups in Malaysia?

Some of the leading hospital groups in Malaysia are:

  1. Beverly Wilshire Medical Group, Kuala Lumpur;
  2. Parkway Pantai, Kuala Lumpur;
  3. Gleneagles Hospital, Kuala Lumpur and,
  4. KPJ Ampang Puteri Specialist Hospital, Ampang.

These hospitals have state-of-the-art infrastructure and are well-equipped with advanced technologies. The hospitals in Malaysia are advanced due to more support from the government through investment in medical infrastructure. The hospitals in Malaysia have shown tremendous improvements in the last ten years and are now on par with well-developed countries, having both well-trained staff and excellent hospital facilities.

What healthcare accreditation standards are followed in Malaysia?

The hospitals in Malaysia follow the healthcare standards set by Malaysian Society for Quality in Health (MSQH) and JCI. Malaysia has 12 JCI-accredited hospitals and they fully adhere to the global standards set by the organization. MSQH, which promotes safety and quality in the healthcare services in Malaysia, has entered into partnership with Malaysia’s Ministry of Health, Association of Private Hospitals Malaysia and Malaysian Medical Association. There is a lengthy evaluation process for granting accreditation to a hospital in order to ensure international standards are met.

Why should I opt for healthcare in Malaysia?

Solid public-private healthcare collaboration and governmental participation have contributed to a strongly-built healthcare system in Malaysia, making it one of the most favored destinations for medical tourists. Malaysia has received worldwide recognition for its excellent healthcare system mainly attributed to advanced technology, modern infrastructure, and highly trained medical professionals. With world-class hospitals across Asia and beyond, Malaysia has reported high success rates in cardiology and fertility treatments. Malaysia has a rich culture and several heritage spots which make it one of the most popular medical tourism destinations in the world.

What is the quality of doctors in Malaysia?

Most of the highly-trained doctors in Malaysia are trained internationally before returning to work in their home country. Producing one of the finest doctors in the world, Malaysia has a strict evaluation system in place to ensure that the country has quality doctors with a high level of professionalism. Doctors in Malaysia have reported best results with many procedures, but their expertise in infertility treatments and cardiology has been globally recognized Medical tourists can apply for eVisa for traveling to Malaysia to get medical treatment and reside there for a period of 30 days under the Malaysian Healthcare Travellers Program (MHTP).

How to obtain a medical visa for Malaysia?

Malaysian Healthcare Travellers Program (MHTP) allows all medical tourists to apply for eVISA for traveling to Malaysia and residing there for a period of 30 days. eVISA is valid for only 3 months and can be availed from online platforms. You need to provide the following things to obtain an eVisa:

  1. Medical certificate issued by the registered medical practitioner
  2. Two recent passport size photographs
  3. Valid passport
  4. Details of the person travelling
  5. Two blank pages on the passport
  6. Travelling and accommodation details
  7. Civil status certificate

Two attendants can accompany the patient to Malaysia under Medical Attendant Visa.

What are the popular procedures available in Malaysia?

Some of the most popular treatments available in Malaysia include cosmetic surgery, dental work, vitiligo treatment, cancer care, discectomy, prostate surgery. Malaysia has reached a great height in cancer treatment through gene therapy which has many benefits, such as minimal adverse effects of current chemo-drugs, shorter treatment time, and reduced treatment costs. With a high success rate of 55 to 60, IVF in Malaysia is much affordable and performed using the latest technology. With recent advancements in orthopedic technologies, Malaysia offers some effective procedures such as hip replacement, shoulder replacement, knee replacement surgery.

Which are the most popular cities in Malaysia for medical treatments?

Some of the leading medical tourism destinations in Malaysia are:

  1. Malacca,
  2. Kuala Lumpur,
  3. Kota Kinabalu,
  4. Ampang, and
  5. Penang.

The cities in Malaysia deliver a world-class treatment experience through their superior hospitals backed with state-of-art infrastructure and talented doctors. A large number of medical tourists visit Kuala Lumpur and Penang every year because of several reasons like the availability of reasonably-priced hotel rooms, better transportation systems, and connectivity through airlines. These cities are most preferred by medical tourists because of many other reasons like a large number of hospitals, rich culture, scenic value, availability of translators, and safety of tourists.

Is it mandatory to take vaccinations before going to Malaysia?

A medical tourist traveling to Malaysia needs to get below vaccines:

  1. Rabies
  2. Meningitis
  3. Covid
  4. Hepatitis A,
  5. Japanese encephalitis
  6. Hepatitis B,
  7. Typhoid
  8. Yellow fever
  9. Polio
  10. Measles

You should take pre-exposure vaccination against rabies before traveling to Malaysia. Children are at greater risk of rabies. Don’t forget to get Japanese encephalitis vaccination as is it common in Malaysia. International Certificate of Vaccination would be required if you are coming from a country with a high risk of Yellow Fever.