Good evening doctor .. nMy husband has undergone surgery for a brain tumor in the cerebellum in the brain stem and will continue with gamma rays and put in a vp shunt. All I know is that the vp shunt is permanent. What I want to ask, is it possible if the cause of the hydrocepalus is not there (the tumor) the vp shunt is removed? And can return to normal without the help of a vp shunt. Thank you doctor .. greetings
Hello, Yenni Rosmala, thank you for asking HealthReplies.com.
Excess fluid in the brain (hydrocephalus) can be caused by obstruction of brain fluid flow (for example, a tumor, bleeding), excess production of brain fluid, or impaired absorption of brain fluids. Excess fluid in the brain can cause increased pressure in the brain, the effects of which can cause symptoms such as: headache, vomiting, seizures, and decreased brain function (for example: balance disorders, paralysis, thinking problems, memory problems, vision problems). Treatment for hydrocephalus is with a VP shunt or ventriculo-peritoneal shunt, which is a tube that is inserted to help drain excess fluid in the brain to other parts of the body that absorb fluid more easily, such as the abdominal cavity. Besides VP-shunt, therapy is also carried out according to the cause of the hydrocephalus.
VP-shunt installation is done by operation. VP-shunt insertion is performed by making an incision behind the ear and will make a small hole in the skull. Through this hole, the neurosurgeon will put a tube in the brain to the abdominal cavity, so that fluid can be drained into the abdominal cavity.
Usually, in adults the VP-shunt can last for 8 years or more. However, the length of the VP-shunt is highly dependent on the patient's condition, response to the VP-shunt, and the neurosurgeon's treatment decisions. If there is still a build-up of brain fluid after tumor removal, it is likely that a VP-shunt will still be needed. For that, the doctor will monitor the results of the tumor removal surgery and VP-shunt installation. Some of the complications that can occur after the VP-shunt insertion are infection at the VP-shunt insertion site, blockage in the VP-shunt, or impaired VP-shunt mechanical work. So, when a person has a VP-shunt installed, he or she must routinely go to the doctor to monitor the VP-shunt's work. If after the VP-shunt installation you have the following symptoms, you should immediately consult your doctor: fever, frequent drowsiness, restlessness, headache, visual disturbances, nausea / vomiting, redness / pain / swelling in the area of the VP-shunt installation, abdominal pain, or other signs of hydrocephalus.
That's all, hopefully it's useful.
Greetings, dr. Sarah Rizqia.