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Updated: Jun 23, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Headaches in patients with shunts
1Barrow Neurologic Institute, University of Arizona, College of Medicine, Phoenix, AZ 85013, USA. Harold.Rekate@bnaneuro.net
Patients with shunts often experience severe headaches, impacting quality of life. This study found a higher incidence of frequent, severe headaches in individuals treated for hydrocephalus compared to the general population.
Area of Science:
- Neurosurgery
- Neurology
- Pediatrics
Background:
- Headaches are common, but severe headaches in patients with shunts indicate potential complications.
- Shunt malfunctions or related issues can lead to significant morbidity and healthcare costs.
Purpose of the Study:
- To determine the incidence of severe headaches in patients treated for hydrocephalus.
- To explore the relationship between headache disorders and hydrocephalus treatment.
Main Methods:
- Utilized a self-reporting database from The Hydrocephalus Association.
- Analyzed data from 1,233 individuals (19 months-45 years) reporting frequent or chronic headaches.
- Categorized participants into children, adolescents, and young adults.
Main Results:
- Severe headaches requiring treatment were more prevalent as the age of the hydrocephalus population increased.
- Direct comparison with general population studies is limited, but incidence is likely higher.
- Headache management in this population incurs high costs and lifelong risks.
Conclusions:
- Individuals treated for hydrocephalus have a notable incidence of severe headaches.
- Early treatment decisions significantly influence long-term quality of life.
- Strategies normalizing cerebrospinal fluid dynamics and reducing shunt dependency warrant investigation for improved outcomes.
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