Friday, May 14, 2021

Hydrocephalus

An obstruction, such as a tumor or a congenital blockage or an inflammation in the brain can interfere with the drainage of CSF from the ventricles into the subarachnoid space. As fluid accumulates in the ventricles, the CSF pressure rises. This condition is called hydrocephalus (hydro = water; kephale = head).

In a baby, if the fontanels have not yet closed, the head bulges in response to the increased pressure. In time, however, the fluid buildup compresses and damages the delicate nervous tissue. Hydrocephalus responds dramatically to ventricular drainage of CSF. 

A neurosurgeon may implant a drain line to divert CSF from a brain ventricle into the subclavian vein and then into the right atrium of the heart. In adults, hydrocephalus may occur following head injury, meningitis or subarachnoid hemorrhage. 

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