Adult Hydrocephalus & Shunt Surgery
Hydrocephalus is an accumulation of cerebrospinal fluid that raises pressure inside the head. In adults it can follow a hemorrhage, infection, tumor, or blockage, or appear without an obvious cause. Treatment restores fluid drainage, either with a shunt or by creating a new internal pathway with an endoscope. We also evaluate and revise shunts placed elsewhere or in childhood.
Symptoms
- Headache, nausea, vomiting
- Blurred or double vision
- Drowsiness, confusion
- Difficulty walking, incontinence
How it is diagnosed
CT or MRI; sometimes pressure monitoring.
Treatment options
Without surgery
Temporary measures only; definitive treatment is surgical.
Surgical options Dr. Daggubati offers
Common questions
What causes hydrocephalus in adults?
A blockage in the fluid pathways from a tumor, cyst or narrowing (obstructive hydrocephalus), or impaired absorption after bleeding, infection or head injury (communicating hydrocephalus). Sometimes no cause is found.
Shunt or ETV — which is better?
An endoscopic third ventriculostomy avoids hardware and is preferred when the blockage is below the third ventricle and the anatomy is suitable. A shunt works for all types and can be adjusted; it carries a lifelong small risk of blockage or infection. Dr. Daggubati discusses which fits your situation.
How would I know if my shunt has stopped working?
Return of the original symptoms — headache, nausea, drowsiness, vision change or unsteadiness. Any of these in a person with a shunt deserves same-day evaluation.
Not sure this is you?
Bring your imaging and your story. A single visit usually clarifies what is going on and which options are realistic. Request an appointment or call (301) 718-9611.