Hydrocephalus: Fluid Imbalance in the Brain and How to Manage It
Hydrocephalus is an excess of cerebrospinal fluid (CSF) in the ventricles and around the brain, which raises intracranial pressure. In everyday speech it is called "water on the brain." It may be congenital or acquired and occurs in infants, children, and adults, and treatment depends on the cause and on how quickly symptoms progress.
In brief:
- Causes: brain malformations, infections (including during pregnancy, and meningitis), hemorrhages, injuries, tumors, and impaired CSF outflow.
- In an infant: the head enlarges quickly, the fontanelle is tense and pulsating, vomiting recurs, the baby is lethargic, and the gaze seems directed downward.
- In an adult: headache, especially in the morning, nausea, and problems with walking, memory, and urination.
- Which doctor: a neurologist; for a child, a pediatric neurologist. The diagnosis is clarified with neurosonography (ultrasound), CT, or MRI; a neurosurgeon is needed when the question of surgery arises.
- Urgent: in a baby, the head grows quickly, the fontanelle is tense, and there is vomiting, drowsiness, or seizures; in an adult, a very severe headache with vomiting or an altered level of consciousness.
At CSM Clinic in Kyiv, examination and diagnostics are carried out by pediatric neurologists and neurologists.
The mysterious hydrocephalus is a medical term from the field of neurology that many people of different ages encounter during their lives. In common speech it is called "water on the brain."
In essence, hydrocephalus is an excessive amount of cerebrospinal fluid in the ventricles of the brain and in the spaces beneath its membranes. On the one hand, this fluid is a valuable resource: it supplies nutrients for the normal functioning of the brain and protects it, acting as a shock absorber. On the other hand, an excess of it can lead to unpleasant and sometimes serious consequences.
Hydrocephalus: Causes and Consequences
Hydrocephalus may be congenital or may result from head injuries, brain tumors, infections, and diseases that adversely affect the natural flow of cerebrospinal fluid. Hydrocephalus in adults can appear after blockage of vessels, hemorrhages after a stroke, and other brain damage.
General symptoms of hydrocephalus:
- muscle weakness, difficulty or impairment in walking, seizures;
- problems with balance, coordination of movements, concentration, and memory;
- frequent headaches, especially in the morning, and increased intracranial pressure;
- nausea and vomiting, sometimes uncontrolled urination;
- disturbances of mental functions and emotional reactions.
The symptoms of hydrocephalus are wide-ranging, and each of them affects a person's or child's overall health and quality of life in its own way: from short-term or long-term problems to disability or death.
Hydrocephalus in Children
Hydrocephalus can be caused by genetic heredity, maternal illnesses or infections, and defects in the formation of the nervous system during prenatal development. In each individual case there may be its own specific cause, which requires careful investigation in order to prescribe appropriate treatment.
Hydrocephalus: Symptoms in Infants and Children
Usually, the main one is considered to be a disproportionate enlargement of the head. Accompanying symptoms may also include:
- pulsation of the fontanelle;
- dilated veins (forehead and temples);
- impaired coordination of movements and motor skills;
- difficulty feeding an infant or reduced appetite in children;
- strabismus or visual impairment;
- lethargy, drowsiness, agitation, and irritability.
Hydrocephalus, the consequences of which can be very dangerous for infants and children, can delay overall development and negatively affect cognitive functions: comprehension and awareness, memory, and recognition. Children may have difficulty taking in information and learning.
Hydrocephalus: Diagnosis and Treatment at CSM
At CSM Clinic in Kyiv, where neurology is a main area of practice, modern equipment is used for studying and diagnosing disorders of the brain and spinal cord of any complexity. The clinic uses standard methods of examining hydrocephalus (ultrasound, CT, MRI) as well as additional ones: CSF manometry (measuring fluid volume and intracranial pressure) and lumbar puncture (examination of a cerebrospinal fluid sample).
The qualifications and experience of our specialists make it possible to approach these conditions with care. Treatment of hydrocephalus is a strictly individual matter. The range of approaches includes medication, surgical interventions (artificial removal of excess cerebrospinal fluid), and, additionally, physiotherapy and rehabilitation procedures and techniques (for example, reflexology).
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