Madhukar Rainbow Children Hospital, Malviya Nagar, New Delhi
+91 98102 64850
shandips@gmail.com.

Hydrocephalus and neural tube defects (meningocele, meningomyelocele)

Dr Shandip Kumar Sinha - Paediatric surgeon,Paediatric urologist and Paediatric laparoscopic surgeon

What is this disease?
  • Hydrocephalus is defined as excess cerebrospinal fluid (CSF) accumulation in the head caused by a disturbance of formation, flow, or absorption. Although there are a number of causes of infantile hydrocephalus, the condition is most associated with the congenital anomalies neural tube defect/spina bifida and aqueductal stenosis.
How it is diagnosed?
  • Antenatal scans, clinical examination, USG after birth, MRI are useful in diagnosis. There may be weakness of lower limbs and urological problems. 
How it is treated?
  • Surgical repair of neural tube defect and drainage of CSF (VP shunt/endoscopic third ventriculostomy-ETV) are treatment options. In neonates, VP shunt is commonly done for hydrocephalus.
When it should be operated?
  • The surgery depends upon clinical situation and associated anomalies of the child and treating team decided about optimal time of surgery.
Are there other alternative methods of treatment?
  • In indicated cases, surgery is the treatment option. 
What all I need to know before my child surgery?
  • Read “All you need to know before your child’s surgery” information booklet in website.  
How is the surgery done?
  • The surgery is done to repair the dura and cover it with skin. The VP shunt is a tube which drains water from brain to abdomen and is placed surgically.
Remarks
  • For more details of surgery, contact your surgeon.
Related Photographs and videos
  • Few photographs of steps done by me is given here for learning purposes