Hydrocephalus
About the disease & condition
Known Symptoms
- Infants: Rapid head growth, bulging fontanelle, vomiting, lethargy, “sunsetting” eyes.
Children/adults: Headache, nausea/vomiting, blurred vision, gait instability, cognitive decline, urinary incontinence (especially in iNPH). - Red flags: Signs of increased intracranial pressure (e.g., papilledema, bradycardia, altered mental status).
Known Causes
- Obstructive (non-communicating): Blockage of CSF flow within the ventricular system (e.g., aqueductal stenosis, tumor compression).
- Communicating: Impaired CSF absorption at the arachnoid villi (e.g., post-hemorrhagic, post-meningitic, or idiopathic normal pressure hydrocephalus, iNPH).
- Overproduction (rare): Choroid plexus papilloma.
Pathophysiology: Imbalance between CSF production, flow, and absorption results in ventricular dilation and increased intracranial pressure.
Care
- Prevention: Early treatment of infections (e.g., meningitis), management of prematurity-related IVH. No primary prevention for congenital cases.
- Follow-up: Lifelong monitoring for shunt-dependent patients (symptoms of malfunction/infection).
Regular neuroimaging and developmental assessments (in pediatric cases). Multidisciplinary care (neurosurgery, neurology, rehabilitation).
Relevant Specialties

Oncology
Our Cancer Center offers comprehensive, multidisciplinary cancer care within a quaternary hospital setting, ensuring that every form of therapy and supportive service is available under one roof. With dedicated departments in Medical, Surgical, Radiation and Hemato-Oncology, Nuclear Medicine, Genomics and Palliative Care, our experienced teams deliver evidence-based, personalised treatment through advanced technologies such as linear accelerators, PET-CT, NGS-based precision oncology, CAR-T therapy and bone marrow transplantation. Every patient’s case is reviewed by a multi-specialty tumour board to design an individualised, multimodality treatment plan, supported by outpatient daycare chemotherapy, advanced radiotherapy techniques, minimally invasive surgeries and targeted nuclear therapies. From early detection and screening to rehabilitation, survivorship and end-of-life care, we focus not only on treating cancer but on delivering compassionate, coordinated and patient-centred care at every stage.



