Patient's question:
Male, 34 years old, bilateral craniectomy after a traffic accident, developed right-sided hydrocephalus 19 days after two craniotomies. External ventricular drainage was performed, but the drainage of cerebrospinal fluid was insufficient. Now, it has been 3 days, and the amount of drained cerebrospinal fluid has been increasing. What could be the reason, and what further treatment is needed? Please help!!!Doctor's answer:
Disease Analysis: The treatment of hydrocephalus emphasizes individualization, which means choosing different treatment methods based on the cause, type, and severity of the accumulation. Most cases require surgical treatment, with options such as ventriculoperitoneal shunt surgery.Medical Advice: However, postoperative complications such as under-shunting, over-shunting, shunt tube obstruction, and infection are common. For those with the necessary conditions, minimally invasive surgery under endoscopy can also be considered. The latter option does not require lifelong tube carrying.