Types of hydrocephalus

All types of hydrocephalus involve buildup of cerebrospinal fluid (CSF) within the brain. As this fluid accumulates, it increases pressure within the brain, which can cause brain damage and permanent loss of physical and mental abilities. However, with treatment many people with hydrocephalus have few, if any, long-term effects.

Cerebrospinal fluid sometimes builds up rapidly, such as with an injury, and can cause sudden and severe damage if not treated. Other times, the fluid gradually accumulates and may not cause problems initially.

Types of hydrocephalus include:

  • Congenital hydrocephalus, which is present at birth. It may be caused by physical problems with how CSF flows or is produced or by infections or trauma during fetal development. It may be associated with other birth defects, especially open neural tube defects, which affect the spine.
  • Acquired hydrocephalus, which develops at the time of birth or later. It can be caused by infections such as meningitis, bleeding, injury, or a tumour.
  • Normal-pressure hydrocephalus, which usually occurs during and after middle age. It is a potentially treatable cause of dementia. It often occurs after head trauma, infections, and bleeding within the brain
  • Ex-vacuo hydrocephalus, which occurs when there is damage to the brain caused by stroke or traumatic injury.

With all types of hydrocephalus, early diagnosis and treatment are important to minimize or prevent long-term problems.



Author: Douglas Dana
Amy Fackler, MA
Last Updated: June 26, 2006
Medical Review: Adam Husney, MD - Family Medicine
Michael J. Sexton, MD - Pediatrics
Thomas Emmett Francoeur, MDCM, CSPQ, FRCPC - Pediatrics
Mark G. Luciano, MD - Neurological Surgery

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