Dr.Öğr.Üyesi Gökhan GÖKÇE – Beyin, Sinir ve Omurga Cerrahisi Uzmanı

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Hydrocephalus (hydrosyphalus) is a condition in which the circulation or absorption of cerebrospinal fluid (cerebrospinal fluid or cerebrospinal fluid) is impaired and this fluid accumulates in the ventricles or ventricles (ventricles) of the brain. Hydrocephalus can occur for many different reasons and can be seen at different stages of life. Treatment options may also vary depending on the cause of hydrocephalus and the patient’s condition. Here are some of the treatment methods of hydrocephalus:

1. Shunt Surgery: One of the most commonly used methods in the treatment of hydrocephalus is shunt surgery. In this procedure, a thin tube or catheter called a shunt is used to drain the excess fluid accumulated in the brain. The catheter is inserted through the brain ventricles or hydrocephalus area into another body cavity (usually the abdominal cavity) or sometimes the chest cavity. The shunt allows excess fluid to be reabsorbed or removed in the body. In this way, fluid accumulation in the brain is controlled.

2. Endoscopic third ventriculostomy: In this method, an endoscope is used to make a hole in the brain ventricles or the brain cavity called the third ventricle. This hole treats hydrocephalus by allowing the flow of cerebrospinal fluid. This procedure is particularly used in some types of hydrocephalus and may be an option for suitable patients.

3. Tumour or Obstruction Treatment: Treatment of tumours or obstructions that cause hydrocephalus may vary depending on the cause of the hydrocephalus. For example, tumours can be surgically removed or obstructions can be removed. Removing the tumour or obstruction in this way can restore the normal flow of cerebrospinal fluid.

4. Treatment of Normal Pressure Hydrocephalus: Treatment of this type of hydrocephalus is usually performed by shunt surgery or endoscopic third ventriculostomy. In addition, in some patients, response to treatment can be evaluated by lumbar puncture (fluid collection from the waist).

The choice of treatment depends on the patient’s age, type of hydrocephalus, cause, symptoms and general health. Regular follow-up of patients after treatment is important. Early diagnosis and treatment of hydrocephalus can reduce the pressure on brain tissue, improve symptoms and improve the patient’s quality of life.

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