Understanding Hydrocephalus in the Indian Context
Hydrocephalus occurs when cerebrospinal fluid (CSF) builds up and raises brain pressure. In Hyderabad and across Telangana, we see obstructive cases from aqueductal stenosis or tumors, post-hemorrhagic causes after trauma, and infection-related cases. Early imaging, correct procedure selection and infection prevention determine long-term outcomes.
Families from Warangal, Karimnagar and Nalgonda often travel for care; our coordinators align scans, authorisations and follow-ups to reduce delays.
When to Consult Our Hydrocephalus Specialists
- ✓ Worsening morning headaches with vomiting
- ✓ Sudden gait imbalance, confusion or drowsiness
- ✓ Visual blurring, double vision or unequal pupils
- ✓ Rapid head growth or tense fontanelle in infants
- ✓ MRI/CT suggesting hydrocephalus
- ✓ Prior bleed/infection with new pressure symptoms
- ✓ Known shunt with new headaches, fever or redness along the tube
Our Diagnostic Approach
Focused Exam & Fundoscopy
Assess raised ICP and neurological deficits; counsel on red flags.
MRI Brain ± CSF Flow Study (CT in Emergencies)
Differentiate communicating vs obstructive hydrocephalus; look for aqueductal block, cysts or tumor obstruction.
Aetiology Work-up
Rule out infection, hemorrhage and congenital anomalies; basic labs and, when indicated, CSF studies.
Procedure Planning
Choose ETV vs shunt; programmable valve selection; antibiotic timing; ICU plan and consent.
Treatment Pathways
- Endoscopic Third Ventriculostomy (ETV)
- Programmable VP Shunt
- External Ventricular Drain (EVD) – Acute
- Endoscopic Aqueductoplasty (Selected)
- Infection-Prevention Bundle
- Tele-Follow-Up & Valve Adjustment Program
What to Expect: Your Care Journey
First Visit (30–60 min): Exam, imaging review and counselling.
Pre-Op (Same day–2 days): Labs, anaesthesia fitness, authorisation.
Surgery Day: WHO/NABH checklists; ETV or shunt with ICU observation.
Discharge (48–72 hrs typical): Wound care, fever precautions, valve card.
Follow-Up (1–2 weeks): Suture removal; valve setting review.
Long-Term: Imaging at 3–6 months; annual checks; WhatsApp triage for warnings.
Technology & Innovation
- Programmable shunt valves with non-invasive adjustment
- Endoscopic suite with neuronavigation in selected cases
- EMR/PACS-integrated follow-up schedules and reminders
Preventing Complications
Meticulous antisepsis, antibiotic-impregnated catheters, limited handling and early wound checks reduce infection. Clear education on shunt/ETV red flags helps avoid delays in care.
Why Ajuda for Hydrocephalus Care?
🧭 Personalised Diversion
ETV or programmable shunt chosen to fit your anatomy and lifestyle.
🏥 ICU-Backed Safety
24/7 neuro ICU with rapid imaging and post-op monitoring.
📲 Connected Follow-Up
Valve checks and tele follow-ups with WhatsApp support.
Take the First Step
Early, tailored treatment protects brain function and vision. Call or WhatsApp 9010550550 to plan your care at Ajuda Hospitals, Hyderabad.