Can hydrocephalus be treated with medication?

Patients with milder hydrocephalus or patients with resting asymptomatic hydrocephalus can try treatment with medications. Clinically, drugs that reduce cerebrospinal fluid secretion, such as the application of acetazolamide, are recommended for treatment, but in most cases the results are mediocre. Patients with more pronounced symptoms of persistent headache, dizziness, nausea, vomiting, unstable walking, falls, cognitive dysfunction, and incontinence often require surgical treatment, and a ventriculo-abdominal shunt is recommended to drain more cerebrospinal fluid from the ventricles into the abdominal cavity through an indwelling ventricular drain to achieve the desired treatment. In most patients, the morphology of the ventricular system gradually returns to normal after surgical treatment, and the existing discomfort improves significantly.