Patient's question:
A two-month-old girl will not walk and has a large head. There are no other obvious symptoms. During a thorough examination a few days ago, the doctor discovered that she has severe hydrocephalus of the type associated with intestinal obstruction and also mild cerebral palsy. Regarding her previous treatment and outcomes: there has been no...Doctor's answer:
For progressive hydrocephalus with significantly reduced cranial size and cerebral cortex thickness below 1 cm, surgical intervention can be considered. The surgery can be divided into:1. Surgical removal of the cause of ventricular obstruction: such as aqueductoplasty or aqueductoplasty, median foramen incision, and resection of intracranial occupying lesions, etc.
2. Cerebrospinal fluid shunt surgery: The goal of this surgery is to create a cyclic pathway for cerebrospinal fluid circulation, eliminate the accumulation of cerebrospinal fluid, and is used for both communicating and non-communicating hydrocephalus. Common shunt surgeries include lateral ventricle-cerebellomedullary cistern shunt, third ventriculostomy, lateral ventricle-abdominal cavity, superior sagittal sinus, atrium, external jugular vein, etc.
Medical advice: Rehabilitation training can be implemented after hydrocephalus surgery for cerebral palsy. With proper treatment, the child will gradually improve.