Question Title: Shunt?

Forum: Neurology Forum
Topic: Hydrocephalus

My father in law has been dealing with gait difficulties for the past year. His local doctors were unable to offer an explanation, but a trip to Mayo offered a preliminary diagnosis of hydrocephaly (his gait improved after a spinal tap) When he left the physicians mentioned that he would have a hard time finding a neurosugeon to place a shunt until he is in a wheelchair. We have done research which states that the earlier the shunt is placed, the better the chance for some improvement in symptoms. Obviously, we would like to have a shunt placed as we realize left untreated this will only progress, with possibly no chance for improvement. Since this trip, my father in law's condition has deteriorated rapidly such that dementia and some incontinence is now present. What are the chances that a surgeon would place this shunt for my father-in-law? What criteria are they looking for? Is it true that the surgeons won't place the shunt until it has progressed to a certain point, when symptoms might not improve? I guess my main question is what determines the timing of the placement of a shunt? We would rather it be sooner than later, is this reasonable?

I am sorry this question seems to have been missed until now.

If your father-in-law is steadily deteriorating, and if the diagnosis really is hydrocephalus, then a shunt seems to be reasonable sooner than later. Of course, other medical complications factor in the equation, so the only way to know whether a surgeon would put a shunt in is to ask such a surgeon.

If his gait improved after a high-volume tap, that is a good sign but not absolutely predictive that he could improve after surgery.

You are welcome to call 800 223-2273 and ask for neurosurgery appointments. Bring all your records including the actual films (reports won't cut it). If you want a second neurologic opinion first, you can get that by asking for neurology appointments as well. if you are traveling from a distance, it may be worthwhile to try to schedule two visits the same day but it has to be done in advance due to full booking.

Alternatively, if travel is just too difficult, find a major medical center near you, perhaps academic or university-based, and contact a neurosurgeon there.

I hope this helps. CCF MD mdf.

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