Hydrocephalus

11 min read

Hydrocephalus is a medical condition in which there is an abnormal accumulation of cerebrospinal fluid (CSF) in the ventricles, or cavities, of the brain. It is also known as "water on the brain." Hydrocephalus can occur at any age, but is most common in infants and older adults. It is a serious condition that can cause permanent neurological damage if left untreated.

Causes of Hydrocephalus

Hydrocephalus can be caused by a variety of factors, including birth defects, head injuries, infections, tumors, and other medical conditions. In some cases, the cause is unknown.

Diagnosis of Hydrocephalus

Hydrocephalus is usually diagnosed through a physical examination, neurological exam, and imaging tests such as an MRI or CT scan. These tests can help doctors determine the cause of the condition and the best course of treatment.

Complications of Hydrocephalus

Hydrocephalus can lead to a variety of complications, including seizures, vision problems, developmental delays, and even death. It is important to seek medical attention as soon as possible if you or your child is showing signs of hydrocephalus.

Take the Hydrocephalus Assessment

Symptoms

  • Headaches
  • Vomiting
  • Nausea
  • Blurred vision
  • Lethargy
  • Poor coordination
  • Difficulty walking
  • Irritability
  • Seizures
  • Developmental delays

In more severe cases, hydrocephalus can cause coma, paralysis, and even death. It is important to seek medical attention if you or your child is experiencing any of these symptoms.

Causes

Congenital Hydrocephalus

Congenital hydrocephalus is a type of hydrocephalus that is present at birth. It is caused by a variety of factors, including genetic abnormalities, infections during pregnancy, and problems with the development of the brain or spinal cord. In some cases, the cause of congenital hydrocephalus is unknown.

Acquired Hydrocephalus

Acquired hydrocephalus is a type of hydrocephalus that develops after birth. It is usually caused by an injury or illness that affects the brain or spinal cord. Common causes of acquired hydrocephalus include head injuries, brain tumors, meningitis, and stroke.

Normal Pressure Hydrocephalus

Normal pressure hydrocephalus (NPH) is a type of hydrocephalus that is caused by an obstruction in the flow of CSF. This obstruction can be caused by a variety of factors, including tumors, infections, and scar tissue. NPH is usually diagnosed in older adults and can cause a variety of symptoms, including difficulty walking, urinary incontinence, and dementia.

Getting a Diagnosis

Diagnostic Tests for Hydrocephalus

The most common diagnostic test for hydrocephalus is an imaging test such as an MRI or CT scan. These tests can show the presence of enlarged ventricles and other signs of hydrocephalus. Other tests that may be used to diagnose hydrocephalus include a lumbar puncture, which can measure the pressure of the CSF, and an ultrasound, which can show the flow of CSF.

Diagnostic Criteria for Hydrocephalus

In order to diagnose hydrocephalus, doctors look for certain criteria. These include an enlarged ventricle, an increase in intracranial pressure, and a decrease in the flow of CSF. Other signs of hydrocephalus include a decrease in the size of the brain, an increase in the size of the head, and a decrease in the size of the skull.

Conclusion

Diagnosis of hydrocephalus is important in order to begin treatment and prevent further complications. Imaging tests such as an MRI or CT scan are the most common diagnostic tests for hydrocephalus. Other tests that may be used to diagnose hydrocephalus include a lumbar puncture and an ultrasound. Doctors look for certain criteria in order to diagnose hydrocephalus, including an enlarged ventricle, an increase in intracranial pressure, and a decrease in the flow of CSF.

Questions for Your Doctor

Symptoms

Discuss any symptoms you are experiencing with your doctor. This includes any changes in your vision, hearing, balance, or coordination. It is also important to tell your doctor if you are having any headaches, nausea, vomiting, or difficulty walking. Your doctor may order tests to determine the cause of your symptoms.

Treatment Options

Your doctor will discuss treatment options with you. Treatment for hydrocephalus may include medications, surgery, or a combination of both. Your doctor will explain the risks and benefits of each treatment option and help you decide which one is best for you.

Follow-up Care

Your doctor will also discuss follow-up care with you. This may include regular check-ups, imaging tests, or other tests to monitor your condition. Your doctor may also recommend lifestyle changes, such as avoiding certain activities or taking medications to help manage your symptoms.

Questions

Be sure to ask your doctor any questions you may have about hydrocephalus. This includes questions about your diagnosis, treatment options, follow-up care, and any other concerns you may have. Your doctor is there to help you understand your condition and make informed decisions about your health.

Treatment

Shunt Placement

Shunt placement is the most common treatment for hydrocephalus. A shunt is a small tube that is surgically placed in the brain to drain excess CSF and redirect it to another area of the body, such as the abdomen or heart. The shunt helps to relieve the pressure in the brain and can help improve symptoms.

Endoscopic Third Ventriculostomy (ETV)

Endoscopic third ventriculostomy (ETV) is a minimally invasive procedure that is used to treat hydrocephalus. During the procedure, a small hole is made in the floor of the third ventricle of the brain. This allows the CSF to flow more freely and can help reduce the pressure in the brain.

Ventriculoperitoneal Shunt (VP Shunt)

A ventriculoperitoneal shunt (VP shunt) is a type of shunt that is used to treat hydrocephalus. The shunt is surgically placed in the brain and is connected to a tube that drains the CSF into the abdomen. The VP shunt helps to relieve the pressure in the brain and can help improve symptoms.

Cerebral Spinal Fluid (CSF) Drainage

Cerebral spinal fluid (CSF) drainage is a procedure that is used to treat hydrocephalus. During the procedure, a small tube is inserted into the brain to drain the excess CSF. The CSF is then collected and analyzed to determine the cause of the hydrocephalus. This procedure can help reduce the pressure in the brain and can help improve symptoms.

Conclusion

Hydrocephalus is a serious condition that can cause a wide range of symptoms. Fortunately, there are several treatments available for hydrocephalus, including shunt placement, endoscopic third ventriculostomy (ETV), ventriculoperitoneal shunt (VP shunt), and cerebral spinal fluid (CSF) drainage. If you or someone you know is suffering from hydrocephalus, it is important to speak to a doctor about the available treatments.

Drugs & Medications

Types of Drugs Used to Treat Hydrocephalus

The most common type of drug used to treat hydrocephalus is a diuretic. Diuretics work by increasing the amount of urine produced by the body, which helps to reduce the amount of CSF in the brain. Other drugs that may be used to treat hydrocephalus include anticonvulsants, anti-inflammatory medications, and medications to reduce the production of CSF. In some cases, surgery may be necessary to reduce the pressure on the brain.

Side Effects of Drugs Used to Treat Hydrocephalus

The most common side effects of drugs used to treat hydrocephalus include nausea, vomiting, dizziness, and headaches. Other side effects may include fatigue, confusion, and difficulty concentrating. It is important to talk to your doctor about any side effects you may experience while taking medications for hydrocephalus.

Conclusion

Hydrocephalus is a serious medical condition that can cause a variety of symptoms. Treatment typically involves the use of medications to reduce the amount of CSF in the brain and to reduce the pressure on the brain. Common drugs used to treat hydrocephalus include diuretics, anticonvulsants, anti-inflammatory medications, and medications to reduce the production of CSF. It is important to talk to your doctor about any side effects you may experience while taking medications for hydrocephalus.

Diet

What to Eat

A healthy diet for hydrocephalus should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of foods from each food group can help ensure that you get all the nutrients you need. Here are some specific foods to include in your diet:

  • Fruits: Apples, oranges, bananas, berries, melons, and other fresh fruits
  • Vegetables: Leafy greens, broccoli, carrots, peppers, tomatoes, and other fresh vegetables
  • Whole grains: Oats, quinoa, brown rice, barley, and other whole grains
  • Lean proteins: Chicken, turkey, fish, eggs, beans, and other lean proteins
  • Healthy fats: Avocados, nuts, seeds, olive oil, and other healthy fats

What to Avoid

In addition to eating a variety of healthy foods, it’s important to limit or avoid certain foods that can worsen symptoms of hydrocephalus. These include:

  • Processed foods: Packaged snacks, frozen meals, and other processed foods
  • Sugary drinks: Soda, energy drinks, and other sugary beverages
  • Refined grains: White bread, pasta, and other refined grains
  • Added sugars: Candy, cookies, and other foods with added sugars
  • Saturated and trans fats: Fried foods, processed meats, and other foods high in saturated and trans fats

Bottom Line

Eating a healthy diet can help manage the symptoms of hydrocephalus and improve overall health. Focus on eating plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Limit or avoid processed foods, sugary drinks, refined grains, added sugars, and saturated and trans fats.

Lifestyle

Get Regular Exercise

Regular exercise is important for everyone, but it is especially important for those with hydrocephalus. Exercise can help improve your overall physical and mental health, as well as reduce the symptoms of hydrocephalus. Aim for at least 30 minutes of moderate exercise each day, such as walking, swimming, or cycling. Talk to your doctor before starting any new exercise routine.

Eat a Balanced Diet

Eating a balanced diet is essential for managing hydrocephalus. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed foods and sugary snacks, as these can worsen the symptoms of hydrocephalus. Talk to your doctor or a nutritionist if you need help creating a healthy eating plan.

Get Enough Sleep

Getting enough sleep is important for everyone, but it is especially important for those with hydrocephalus. Aim for 7-8 hours of sleep each night. If you have trouble sleeping, talk to your doctor about ways to improve your sleep quality. Avoid caffeine and alcohol before bed, and try to stick to a regular sleep schedule.

Manage Stress

Stress can worsen the symptoms of hydrocephalus, so it is important to find ways to manage your stress levels. Try relaxation techniques such as yoga, meditation, or deep breathing. Exercise can also help reduce stress. If you are feeling overwhelmed, talk to a therapist or counselor for additional support.

Stay Connected

It is important to stay connected with family and friends, even if you are feeling overwhelmed by your condition. Reach out to your loved ones for support, and don’t be afraid to ask for help when you need it. You can also join a support group for people with hydrocephalus to connect with others who understand what you are going through.

Take Care of Yourself

Living with hydrocephalus can be challenging, but it is important to take care of yourself. Make sure to get regular check-ups with your doctor, and follow their advice for managing your condition. Take time for yourself to relax and do things that make you happy. With the right lifestyle changes, you can manage your hydrocephalus and live a healthy and fulfilling life.