Neurológia pre prax 4/2016

Surgical treatment of hydrocephalus in adults

Surgical treatment is necesery in vast majority of adult patients with acute or chronic hydrocephalus. There are three possibilities of hydrocephalus treatment: removing of the obstacle in the ventricular system (in the most cases removing of the tumor), shunt operation or endoscopic treatment. The type of the operation is determined based on the radiological investigation, today using magnetic resonance. The most freuently performed procedure is a shunt operation, which is however associated with high percentage of late complication. In the recent decade, endoscopic operation have been used increasingly. They are less invasive and no foreign material is implanted therein. After operation patient deserves regulary monitoring by neurosurgeon and neurologist.

Keywords: hydrocefalus, shunt operations, endoscopic ventriculocisternostomy