Seizures and Hydrocephalus

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November is Epilepsy Awareness month and we would like to address this topic, as seizures are not an uncommon occurrence in people with hydrocephalus. However, no correlations have been found between the number of shunt revisions or the site of shunt placement and the risk of developing seizures.

Past studies have shown:

  • Children who have been shunted for hydrocephalus and who have significant cognitive delay or motor disability are more likely to develop seizures than those without cognitive or motor delays.
  • Seizures are not likely to occur at the time of shunt malfunction.
  • The most likely explanation for the development of seizure disorder is the presence of associated malformations of the cerebral cortex.

Recent studies also show that patients who undergo hemispherectomy surgery for medically intractable epilepsy may develop hydrocephalus. A significant portion of these patients develop hydrocephalus on a delayed basis, indicating the need for long-term surveillance.

For more information on epilepsy/seizures and hydrocephalus read the following articles and/or visit the Hydrocephalus Resource Library and search for articles using keywords like seizure, epilepsy.

References:

  1. Agrawal, D. and Durity, F.; Seizure as a Manifestation of Intracranial Hypotension in a Shunted Patient. Pediatric Neurosurgery, 2006; 42:165-167/2006
  2. Lew SM, Matthews AE, Hartman AL, Haranhalli N; Posthemispherectomy hydrocephalus: Results of a comprehensive, multi-institutional review. Epilepsia. 2012 Oct 25. doi: 10.1111/epi.12010.  http://www.ncbi.nlm.nih.gov/pubmed/23106378
  3. Bourgeois et al, Epilepsy in children with shunted hydrocephalus. Journal of Neurosurgery,  February 1999 / Vol. 90 / No. 2 / Pages 274-281  http://www.ncbi.nlm.nih.gov/pubmed/9950498
  4. Sato O, Yamguchi T, Kittaka M, Toyama H; Hydrocephalus and epilepsy. Childs Nerv Syst. 2001 Jan;17(1-2):76-86. http://www.ncbi.nlm.nih.gov/pubmed/11219629
  5. Kulkarni et al. Comparison of Hydrocephalus Outcome Questionnaire Scores to Neuropsychological Test Performance. Journal of Neurosurgery Pediatrics, 2011; 8:396-401/2011
  6. Epilepsy Foundation: http://www.epilepsyfoundation.org/
3 Comments for : Seizures and Hydrocephalus
    • Anonymous
    • March 10, 2019
    Reply

    This is helpful because my 4 year old little brother who has Hydrocephalus has recently suffered from a seizure and it’s doing to know that it’s not because his shunt is malfunctioning. Thank you.🙏😊

    • Richard Paul
    • September 26, 2018
    Reply

    I’ve had epilepsy since before my teens and am now over 46. I’m married with four lovely daughters, have had fancy jobs, such as Design Manager at Oxford University Press, and am allowed to drive.This got me worried because i have a bright future that i do not want epilepsy to become a hindrance, i tried several doctors in Texas and none could help with an effective cure. I went on the internet and saw testimonies about a treatment for epilepsy which a doctor offered and i was interested, i got in contact with him and i was able to get the medicine for my self which i used for 2 months as he instructed and it has been over 5 months now i am doing fine without any allergies or aftermath effects. If you are suffering problem try to reach him too on via drlewishill247 @ gmail. com

    • No name
    • July 8, 2018
    Reply

    My neurologist said most like caus of epilepsy,lesions on the brain. I have a hydroelectric cephalosporins and a shunt.I think most re research is needed and honesty about shunt infections.NHS should offer more patients with partial seizures.I’m on phenytoin.As well as benzodiazapines.Phenytoin doesn’t work.It’s cheap rubbish.I was also of choldbearing age and use a wheelchair and can’t drive.

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