Can Hydrocephalus Worsen Over Time? Seeking Expert Advice

Does hydrocephalus cause the brain to enlarge?

Hello Doctor: I visited the neurology department at Yunji Hospital over ten years ago.
At that time, my symptoms included hand tremors and numbness.
Since no definitive cause was found (I underwent nerve and EEG tests but with no significant abnormalities), an MRI of the brain was performed, which revealed a hydrocephalus approximately the size of a ten-dollar coin.
The doctor mentioned that it would not have a significant impact.
However, I often feel that my memory is poor, I experience headaches, and I feel fatigued (I have a history of anxiety disorder but have recovered).
I believe this may also be related to work stress, so I would like to ask if, over a long period, the hydrocephalus could potentially increase in size? Is there a need to undergo another brain MRI at a major hospital for follow-up? Thank you for your response, Doctor.

Albert, 30~39 year old female. Ask Date: 2023/07/10

Dr. Zhang Junwei reply Neurosurgery

You are likely referring to a blister or fluid accumulation, which can potentially increase in size.
If there are any concerns, it is advisable to consult a neurosurgeon for evaluation.

Reply Date: 2023/07/10

More Info

Hydrocephalus, commonly known as "water on the brain," is a condition characterized by an accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain. This can lead to increased intracranial pressure and can potentially worsen over time if not monitored and managed appropriately. Your concerns regarding the progression of hydrocephalus and its potential impact on your health are valid and warrant careful consideration.

Firstly, it is important to understand that hydrocephalus can indeed worsen over time. The condition can be classified into two main types: communicating and non-communicating (or obstructive) hydrocephalus. In communicating hydrocephalus, the CSF can flow between the ventricles but is not adequately absorbed into the bloodstream, whereas in non-communicating hydrocephalus, there is a blockage preventing the normal flow of CSF. Both types can lead to increased pressure in the skull, which may result in various neurological symptoms.

Symptoms of worsening hydrocephalus can include headaches, cognitive decline, memory issues, balance problems, and changes in personality or behavior. Given your history of hand tremors and numbness, along with your current symptoms of memory problems, headaches, and fatigue, it is crucial to consider that these could be related to the hydrocephalus or other underlying conditions.

Regarding your question about whether the size of the hydrocephalus can increase over time, the answer is yes. If the underlying cause of the hydrocephalus is not addressed, the ventricles may continue to enlarge, leading to further complications. This is why regular monitoring through imaging studies, such as MRI, is essential for individuals diagnosed with hydrocephalus.

You mentioned that your previous MRI showed a hydrocephalus of approximately the size of a ten-yuan coin, and the physician at that time indicated that it would not have a significant impact. However, given that you are experiencing new or worsening symptoms, it is advisable to seek a follow-up MRI. This imaging will help determine if there has been any progression in the size of the ventricles and whether any intervention is necessary.

In addition to imaging, it is also important to discuss your symptoms with a neurologist or a neurosurgeon who specializes in hydrocephalus. They can provide a comprehensive evaluation and determine if any treatment options, such as a shunt placement to drain excess CSF, are appropriate for your situation.

Moreover, managing stress and anxiety is also crucial, as these factors can exacerbate neurological symptoms. Engaging in relaxation techniques, cognitive behavioral therapy, or other supportive therapies may help alleviate some of the stress you are experiencing.

In summary, hydrocephalus can worsen over time, and it is essential to monitor its progression through regular imaging studies. Given your current symptoms, I strongly recommend scheduling an appointment with a healthcare provider to discuss your concerns and potentially obtain a follow-up MRI. Early intervention can significantly improve outcomes and quality of life for individuals with hydrocephalus.

Similar Q&A

Understanding Recurrent Hydrocephalus: Long-Term Management and Concerns

Hello Doctor: My mother (65 years old) underwent a ventriculoperitoneal shunt surgery for hydrocephalus in June of this year. She has been regularly returning for follow-up appointments to assess her postoperative condition and determine if any adjustments to the shunt are necess...

Dr. Zhang Junwei reply Neurosurgery
Theoretically, with the presence of a ventriculoperitoneal shunt, continuous drainage of cerebrospinal fluid can be maintained, significantly reducing the likelihood of developing hydrocephalus again.

Hydrocephalus: To Operate or Not? Understanding Your Options

Due to my father's previous fall, he has developed a brain hemorrhage that has now led to hydrocephalus. The doctor mentioned that surgery is an option, but it's not urgent since the fluid accumulation is not significant at this time. If we choose not to have surgery, w...

Dr. Zhang Junwei reply Neurosurgery
A physician must not administer treatment, prescribe medication, or provide a diagnosis without personally examining the patient. If there are no obvious neurological abnormalities, it is recommended to observe the patient for a while longer.

Understanding Dementia and Hydrocephalus: Key Questions and Insights

Hello, Doctor. I would like to ask about my father, who is 63 years old and has been diagnosed with early-onset dementia for over a year. His main symptoms include significant short-term memory decline and some difficulties in communication and comprehension. He is still relative...

Dr. Hong Weibin reply Neurology
Hello: Diagnosing dementia requires not only imaging studies but also a thorough assessment of the patient's clinical symptoms and disease progression to make an accurate diagnosis. Generally, if dementia is caused by normal pressure hydrocephalus, the patient often presents...

Is Brain Edema Recurring? Understanding Symptoms and Risks

My daughter-in-law is 27 years old and had undergone surgery for hydrocephalus during her kindergarten years. Recently, she has been experiencing persistent headaches and excessive sleepiness, and she has to walk with her head down slowly. I'm not sure if it has recurred.

Dr. Zhang Junwei reply Neurosurgery
Recommend a neurosurgery outpatient examination.