Type of Surgery
Last updated: 02/17/2009
After shunting, the ventricles get smaller within three or four days. This shrinkage occurs even when hydrocephalus has been present for a year or more. Clinically detectable signs of improvement occur within a few weeks. The cause of hydrocephalus,...
duration of hydrocephalus before shunting, and associated brain abnormalities affect the outcome.
Of patients with normal pressure hydrocephalus who are treated with shunting, 25â€“80% experience long-term improvement. Normal pressure hydrocephalus is more likely to improve when it is caused by infection of or bleeding into the CSF than when it occurs without an underlying cause.
Ventricular shunt is a surgical procedure in which a tube is placed in one of the fluid-filled chambers inside the brain (ventricles). The fluid around the brain and the spinal column is called the cerebrospinal fluid. When infection or disease causes an excess of this cerebrospinal fluid in the ventricles, the shunt is placed to drain it and thereby relieve excess pressure.
Ventricular shunt relieves hydrocephalus, a condition in which the ventricles are enlarged. In hydrocephalus, pressure from the cerebrospinal fluid usually increases. It may be caused by tumor of the brain or of the membranes covering the brain (meninges), infection of or bleeding into the cerebrospinal fluid, or inborn malformations of the brain. Symptoms of hydrocephalus may include headache, personality disturbances and loss of intellectual abilities (dementia), problems in walking, irritability, vomiting, abnormal eye movements, or a low level of consciousness.
Normal pressure hydrocephalus is associated with progressive dementia, problems in walking, and loss of bladder control (urinary incontinence). Even though the cerebrospinal fluid is not thought to be under increased pressure in this condition, it may also be treated by ventricular shunting.
Select comparative data from 1999 to 2006 include a decrease of 14 percent in the number of neurosurgeons in private practice and a decrease of 13 percent in the number of neurosurgeons in solo practice.
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