Hydrocephalus: Seeking Help for Your Child's Condition - Surgery

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Hydrocephalus


Hello Dr.
Chen, I live in Kaohsiung.
My youngest son just turned one year old.
When he was about six months old, he was diagnosed with hydrocephalus and underwent surgery at Kaohsiung Medical University to have a shunt placed.
Since then, he has experienced recurrent bacterial infections and discomfort related to the shunt, leading to a total of nine surgeries.
During this time, the attending physician has also overlooked some issues, resulting in additional surgeries.
My family is urging me to seek treatment at another hospital, but I feel lost and uncertain if this would be meaningful or if it would just put my child through more distress.
Could you please provide me with advice and recommend relevant medical institutions? I would be extremely grateful! A helpless mother.

mei, 30~39 year old female. Ask Date: 2004/08/09

Dr. Chen Junxing reply Surgery


Hello Mei: I apologize for the delayed response.
The prognosis of hydrocephalus depends on the underlying cause (such as malformations, cysts, brain tumors, aqueductal stenosis, or congenital hydrocephalus).
Drainage surgery is necessary, and a medical center with neurosurgery can provide you with more detailed answers.
(It is recommended to consult National Taiwan University Hospital, Taipei Veterans General Hospital, Chung Hsing Hospital, or Kaohsiung Veterans General Hospital.) Thank you!

Reply Date: 2004/08/09

More Info


Dear Concerned Mother,
I understand your distress regarding your son's condition with hydrocephalus, especially after enduring multiple surgeries and complications. Hydrocephalus, characterized by an accumulation of cerebrospinal fluid (CSF) in the brain's ventricles, can lead to increased intracranial pressure and various neurological issues. It is crucial to seek appropriate medical care and support for your child, as this condition can significantly impact development and quality of life.

Firstly, it is essential to ensure that your son is under the care of a pediatric neurosurgeon who specializes in hydrocephalus. Given your experience with multiple surgeries and infections, it may be beneficial to seek a second opinion from a different medical institution that has a strong reputation for treating pediatric neurological conditions. Hospitals affiliated with universities or those that have specialized pediatric neurosurgery departments often have more resources and expertise in managing complex cases like hydrocephalus.

In the United States, institutions such as Boston Children's Hospital, Johns Hopkins Hospital, and Cincinnati Children's Hospital Medical Center are renowned for their pediatric neurosurgery programs. They have extensive experience in treating hydrocephalus and can provide comprehensive care, including advanced imaging, surgical options, and post-operative management. While I understand that you are located in Kaohsiung, exploring options at reputable hospitals can be worthwhile, even if it requires travel.

In terms of managing your son's condition, it is vital to maintain open communication with your healthcare team. Regular follow-ups are necessary to monitor his condition, assess the function of the shunt, and address any complications promptly. If your son experiences symptoms such as headaches, vomiting, irritability, or developmental delays, these should be reported to his doctor immediately.

Additionally, consider seeking support from local or national hydrocephalus organizations. These organizations often provide resources, educational materials, and support networks for families affected by hydrocephalus. They can connect you with other families who have similar experiences, which can be incredibly helpful for emotional support and practical advice.

Regarding your concerns about the effectiveness of further treatments and the potential for unnecessary procedures, it is essential to weigh the risks and benefits of any surgical intervention. Discuss these concerns with your child's healthcare provider, and do not hesitate to ask about alternative treatment options, such as endoscopic third ventriculostomy (ETV) or revisions of the shunt system, which may be less invasive.

Lastly, as a parent, it is crucial to advocate for your child's needs. If you feel that your current medical team is not addressing your concerns adequately, seeking a second opinion is not only reasonable but often necessary in complex medical situations. Your child's well-being is paramount, and you deserve to feel confident in the care he receives.

In summary, I encourage you to seek a pediatric neurosurgeon with expertise in hydrocephalus, consider reputable medical institutions for a second opinion, maintain open communication with your healthcare team, and explore support networks for families affected by this condition. Your proactive approach is vital in ensuring the best possible outcomes for your son.

Wishing you and your family strength and support during this challenging time.

Best regards.

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