How to treat obstructive hydrocephalus?

summary

Hydrocephalus, as the name suggests, means that when there is too much water in the brain, the cerebrospinal fluid can not be discharged from the normal way and accumulate, which oppresses the nerve brain tissue, affects the nerve development, and produces symptoms of increased intracranial pressure, such as headache, nausea and vomiting. Long term formation occupies the position of the brain nerve and becomes a chronic form. It's common in children. Early parents can't find it. They just think that their children have a big brain. People often say that they are smart with a big forehead. In fact, part of it is due to excessive accumulation of cerebrospinal fluid, resulting in skull deformation. It's conceivable that children have poor intellectual development, dementia, and even various neurological disorders. Next, how can I treat obstructive hydrocephalus? Let me tell you this.

How to treat obstructive hydrocephalus?

First: for secondary hydrocephalus, that is, obstructive hydrocephalus, basically as long as the cerebrospinal fluid circulation path is unobstructed, hydrocephalus will improve, but the size of ventricle recovery is directly proportional to its formation time, that is, the shorter the time of ventricle enlargement, the faster the ventricle recovery after the cerebrospinal fluid is unobstructed. On the contrary, chronic hydrocephalus takes several years, and even some can not return to normal shape for life.

Second: at present, the treatment of hydrocephalus focuses on the choice between shunt and fistulation, and fistulation is generally not recommended for infants under 1 year old in the world, and the effect is relatively poor. At present, there is no significant difference between shunt and fistulation in children and adults over 1 year old with obstructive hydrocephalus. Moreover, endoscopic third ventriculostomy has less trauma. In some cases, hydrocephalus can not be relieved, and ventriculoperitoneal shunt is the best choice.

Third: Senile hydrocephalus is generally normal intracranial pressure hydrocephalus, which is the kind of traffic hydrocephalus. The effect of colostomy or common shunt is not ideal. This hydrocephalus usually shows no symptoms of high intracranial pressure, but dementia, walking instability, urinary incontinence, memory loss... At present, the selection of ventriculoperitoneal shunt surgery can partially improve the symptoms, especially for the adjustable pressure shunt tube, which can adjust the pressure independently in vitro and has a good regulatory ability for the long-term development.

matters needing attention

Sometimes we talk about it together with tumor diseases. The reason is that the current method is symptomatic treatment. It is believed that in the near future, with the development of cerebrospinal fluid dynamics and the further understanding of the structure and function of ventricular system, there will be a better treatment for hydrocephalus.