Hydrocephalus surgery

The mainstay of treatment for hydrocephalus is medical therapy. Surgery is usually reserved for patients with either increased ICP, stroke and subarachnoid hemorrhage. The surgical methods of hydrocephalus are Decompressive crainectomy with shunting is the main surgical method use in hydrocephalus. Shunting involves the placement of a ventricular catheter. Shunt is the tube placed in cerebral ventricles to bypass the flow of malfunctioning arachnoidal granulations. Shunt, drains out the excess fluid into other body cavities, which is resorbed from there.

• The surgical treatment is given below:^{[1][2][3][4][5]}
• Hydrocephalus treatment is surgical.
• For a detailed approach on performing cerebral shunt watch the video below:

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• The mainstay of treatment for hydrocephalus is medical therapy.
• Surgerical option is for patients with either increased ICP, stroke and subarachnoid hemorrhage.
• Surgery depends on the stage of hydrocephalus at diagnosis.
• The surgical methods of hydrocephalus are given below:
  • The decompressive crainectomy with shunting is the main surgical method use in hydrocephalus.
  • Shunt: Shunting needs the placement of a ventricular catheter.
  • Shunt is the tube placed in cerebral ventricles to bypass the flow of malfunctioning arachnoidal granulations.
  • Shunt, drains out the excess fluid into other body cavities, which is reasorbed from there.
• Types of shunts are:
  • ventriculo-peritoneal shunt.
  • ventriculo-atrial shunt.
  • ventriculo-pleural shunt.
  • Lumboperitoneal shunt.
  • Endoscopic third ventriculostomy.

Possible complications include

• Shunt malfunction
• Shunt failure
• Shunt infection
• When CSF drains more rapidly than it is produced by the choroid plexus it causes following symptoms:
  • Severe headaches
  • Irritability
  • Light sensitivity
  • Sound sensitivity
  • Nausea
  • Vomiting
  • Dizziness
  • Vertigo
  • Migraines
  • Seizures
  • Personality changes
  • Weakness in the arms or legs
  • Excessive head growth (seen infants, children under age 2)
  • Double vision.

• Resistance to traditional analgesic pharmacological therapy may also be sign of shunt overdrainage or failure.
• Diagnosis of the particular complication usually depends on when the symptoms appear.

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