Hydrocephalus

Also called Water on the brain or Normal pressure hydrocephalus

Hydrocephalus is a build-up of fluid in the brain. The extra fluid can put pressure on the brain and damage it. It can be present from birth, develop after a brain injury, infection, bleed or tumour, or develop in older adults without a clear cause (normal pressure hydrocephalus).

Last updated Nov 9, 2026

What it is

It is usually treated with a thin tube called a shunt that drains fluid away from the brain, or with a procedure called endoscopic third ventriculostomy.

Shunts can block or become infected, so knowing the warning signs is important.

Common signs

  • Headache
  • Feeling or being sick
  • Blurred vision
  • Difficulty walking
  • In babies: an unusually large or fast-growing head and a bulging soft spot
  • In older adults: memory problems and losing bladder control

How it is usually diagnosed

  • Brain scans (CT or MRI)
  • Ultrasound in babies
  • Lumbar puncture, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Brain scan reports
  • Shunt type and settings
  • Neurosurgery letters
  • Head circumference charts for babies

Questions to ask your doctor

  • What type of shunt do I have and what are its settings?
  • What are the signs of a blocked shunt?
  • How often do I need check-ups?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Severe headache, vomiting, drowsiness, a seizure or signs of a blocked shunt: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources