Does hydrocephalus require craniotomy for shunt surgery?

Patient's question:

Last December 31st, I underwent a major cerebral aneurysm surgery at the base, and I was discharged ten days ago. My left side, from the face to the hand, is completely paralyzed, and I am not mentally clear. The scalp over the area where my skull was removed used to be concave. Yesterday, I noticed that when lying down, the scalp would slightly protrude, but it's fine when sitting. The CT scan indicated mild hydrocephalus.

Doctor's answer:

Disease Analysis: The purpose of the surgery is to establish a cerebrospinal fluid circulation pathway and relieve the accumulation of cerebrospinal fluid.
Guidance: Craniotomy is required, with low risk and significant postoperative effects. The surgical shunt tube is usually buried under the skin.

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