Hydrocephalus, meaning water on the brain, is when fluid builds (or cerebrospinal fluid CSF) up in the skull. This fluid build-up puts a lot of pressure on the brain, resulting in brain swelling. Genetic abnormality, rubella, congenital disabilities, meningitis, head trauma, brain bleed, and central nervous system tumors can cause hydrocephalus.
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What are the other treatment options for my grandmother's brain hemorrhage?
Query: Hello doctor, My grandmother is 90 years old. She had a brain hemorrhage two days back. She is in ICU. She is unconscious from the last two days. There is toe movement and sometimes, there are some leg movements. She has high blood pressure. The doctors in my place are saying nothing can be done. W... Read Full »
Answer: Hi, Welcome to icliniq.com. Your grandmother seems to be having primary intraventricular hemorrhage with hydrocephalus.At the age of 90 years, definitely the prognosis is likely to be poor. But still, hope should be kept.In such condition, the next treatment option can be EVD- external ventricular d... Read Full »
Please suggest a medicine for muscle stiffness, apart from Baclofen.
Query: Hi doctor, My dad is without ventilator support since 40 days and his tracheostomy has also removed five days back. Without any life support system, he is currently breathing by himself for last 7-8 days with saturation level 100% on air. Past four days he is able to keep his eyes open for few minu... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the detailed information. I am happy to see your father improve gradually. Here is what I suggest. There is no other medicine for stiffness. However, physiotherapy should be carried out aggressively to prevent worsening of stiffness. One should ru... Read Full »
What are chances of movement in my bedridden mother who had stroke on the left side of her brain?
Query: Hello doctor, My mother had been diagnosed with hydrocephalus which required immediate surgery. She always has high blood pressure. She had the operation and recovered in terms of better speech skills for just a couple of days. Later she got worse, and the progress stopped suddenly. We tested the de... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your anxiety as it is evident that you have tried to help your mother, but her unexpected stroke has complicated the situation. To give some predictions about the outcome, I need more data. For example, I need to know her physician's diagnosis about... Read Full »
How does spina bifida progress?
Query: Hello doctor, I have spina bifida, which is a slow degenerative syndrome. In the long run, what kind of deterioration will take place? Read Full »
Answer: Hello, Welcome to icliniq.com. Spina bifida may progress to involve both legs, where one may develop tingling, numbness, and weakness. One may also develop urinary retention and overflow incontinence. Many times if there is associated cranial abnormality like Chiari malformation, then sim... Read Full »
Is locked-in syndrome treatable?
Query: Hello doctor, I am a locked-in syndrome patient. MRI report indicates marked hydrocephalus, diffuse cerebral and cerebellar atrophy, attenuated blood flow in the cerebral vasculature, and hypoxic encephalopathy. I cannot move or do anything but I react to pain. Please help. Read Full »
Answer: Hello, Welcome to icliniq.com. These MRI (magnetic resonance imaging) findings are indicative of chronic severe changes in the brain. Unfortunately, the clinical condition of locked-in syndrome is very serious and the prognosis is really reserved. In most of the cases, patients with this syndrome ... Read Full »
Can my baby still be normal even when the lateral ventricle size enlarges above 12 mm?
Query: Hello doctor,My wife is 26 weeks pregnant now. During her 20-week scan, the ultrasound showed 9 mm of lateral brain ventricle, and now 26 weeks of ultrasound is showing 11.5 mm of the lateral ventricle. So till the time of birth, can it be enlarged to more than 12 mm? So what should we do in this ca... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern regarding the size of the lateral ventricles. The lateral ventricle size between 10 to 15 mm is a mild increase, so it does not need any intervention. After the baby's birth, further evaluation might be done if needed. The only thing to... Read Full »
My son has mood swings, and his memory declined after ETV. How to treat it?
Query: Hi doctor,My son had ETV two years ago, starting with hydrocephalus and having a rosette-forming glioneuronal tumor. He recently had a CT scan which showed signs of hydrocephalus again, and then he had an MRI, which has come back clear, but I am confused as before his surgery, he would fall, and he ... Read Full »
Answer: Hello,Welcome to icliniq.com. His symptoms (the cognitive decline) suggest hydrocephalus, which could be related to ETS (endoscopic thoracic sympathectomy) blockage, which is a common complication of this device. A new surgery may be needed to put a new ETV (endoscopic third ventriculostomy) in such... Read Full »
Can the third ventricle enlargement be due to hydrocephalus after recovery from subarachnoid hemorrhage?
Query: Hi doctor, I am currently abroad on vacation, and I had an important question, which could not wait until I saw my primary care neurologist when I am back home. Five months back, I was involved in a serious hit and run accident (me being the victim). I sustained numerous injuries, the most prevalen... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. The other likely cause for enlargement of lateral ventricles includes injury to the brain tissue leading to vacuum effect on ventricular system and enlargement. However, considering no damage to other parts of the brain, I ... Read Full »
Does the status of acoustic neuroma keep changing?
Query: Hello doctor,A few years back, it was found that I had an acoustic neuroma. It was 27.7 X 1.6 X 1.8 cm. I was offered surgery or Gamma Knife. I elected to have the Gamma Knife in the month of June. Things were fine until a year later. It was then found I had developed water in the brain and had a no... Read Full »
Answer: Hello, Welcome to icliniq.com. Acoustic neuroma causes the water in the brain by two mechanisms. One is direct pressure based on size, and another by increasing protein content in water. It is difficult to predict or state the exact percentage if somebody would be dependent on the shunt, but on av... Read Full »
Can an arachnoid cyst be misdiagnosed?
Query: Hello doctor, I had an MRI today, and the report came back saying I have a congenital arachnoid cyst at the mid posterior fossa. I had a brain MRI about a year ago, and there was no cyst. Should I be concerned, and what should I do? Read Full »
Answer: Hello,Welcome to icliniq.com.Sorry to hear about your problems and I have few questions to ask. What kind of symptoms do you have? Do you have headaches, vomiting, weight loss? Usually, congenital cyst does not grow and are harmless. They do not require treatment until there is a lot of headache or ... Read Full »