(Disclaimer: This article is only for scientific purposes. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: The patient underwent craniotomy for cerebral hemorrhage in an outside hospital about 2 months ago, and has been undergoing rehabilitation exercise in our hospital since the operation. Recently, the patient developed intellectual decline, memory loss and urinary incontinence, and was given a cranial CT examination and diagnosed with traffic hydrocephalus, and was then transferred to our department for surgical treatment. With the consent of his family, he was given a laparoscopic ventriculo-peritoneal shunt. After the operation, the patient’s hydrocephalus was reduced, and his intellectual decline and urinary incontinence improved significantly. Basic information] Male, 69 years old [Disease type] Traffic hydrocephalus [Hospital] Qingdao Hospital of Traditional Chinese Medicine [Date of consultation] April 2022 [Treatment plan] Laparoscopic ventriculo-peritoneal shunt [Treatment cycle] 10 days of hospitalization, followed by outpatient consultation after 1 month [Treatment effect] The patient’s hydrocephalus was reduced, his intellectual ability declined, and his incontinence was significantly improved I. Initial consultation The patient was diagnosed with a sudden onset of slurred speech with limb loss about two months ago. The patient had a sudden onset of slurred speech and limb inactivity about 2 months ago. After a CT examination in a foreign hospital, which suggested intracerebral hemorrhage, the local doctor gave him a craniotomy to remove the intracerebral hematoma and decompression surgery of the desiccated bone flap, and the patient recovered reasonably well after the surgery, and he was transferred to our hospital to undergo rehabilitation. Recently, the family found that the patient had intellectual decline, memory loss and frequent urinary incontinence. Considering that the patient had hydrocephalus after cerebral hemorrhage, the family urgently investigated the cranial CT, and found that the patient’s ventricular system was obviously dilated, and the interstitial edema of the brain tissue was suggestive of hydrocephalus, and then asked our department to consult with him, and in combination with the patient’s symptoms and the manifestations of the CT, the patient was diagnosed as hydrocephalus, and it was recommended that he should have a surgical operation. The patient had symptoms such as intellectual decline, memory loss and urinary incontinence. After communicating with her family, she decided to undergo surgery. Preoperative lumbar puncture was given to release cerebrospinal fluid, and while clarifying the therapeutic effect of ventriculo-abdominal shunt, the patient’s intracranial pressure was detected in order to select the initial pressure of the ventriculo-abdominal shunt. After the lumbar puncture treatment, the patient’s urinary incontinence improved compared with the previous one, and it could be predicted that the patient’s ventriculo-abdominal shunt treatment was effective. After completing the preoperative examination, laparoscopic ventriculo-abdominal shunt was given under general anesthesia at an elective stage. After the operation, cranial and cerebral CT was regularly reviewed to know the improvement of hydrocephalus and to regulate the pressure of ventriculo-peritoneal shunt. The patient’s intelligence was improved on the 7th postoperative day, his calculation ability was basically normal, and his urinary incontinence was partially improved. On the 10th day after surgery, the patient’s head surgical incision healed well. Abdominal application of laparoscopy is less traumatic than traditional incision and beautiful, healing is good, the incision is given to remove the stitches, hospitalized for 10 days and discharged, and the patient is instructed to go to the neurosurgery clinic regularly for review. The patient was discharged after 10 days of hospitalization, and was asked to go to the neurosurgery clinic for regular checkups. One month after the operation, the CT review showed that the hydrocephalus had improved significantly, the interstitial edema of the brain tissue had been reduced, and the mental retardation and urinary incontinence had improved significantly compared to the previous one. Precautions It is gratifying that the hydrocephalus of the patient was relieved after surgery and the accompanying symptoms were gradually relieved, but the patient needs to pay attention to the following matters after being discharged from the hospital: 1. After discharge, the patient should avoid strenuous activities, eat a low-salt and low-fat diet, and monitor the fluctuation of blood pressure and blood glucose at regular intervals. 2. 2. After surgery, patients should go to the neurosurgery clinic regularly for review, and adjust the pressure of ventricular-abdominal shunt according to the specific situation. 3.After the operation, observe the patient’s body temperature, consciousness and improvement of symptoms, and come to the hospital for follow-up if there is any discomfort. V. Personal perception Traffic hydrocephalus is a common complication after cerebral hemorrhage, the cause of which is mainly the blockage of arachnoid particles by red blood cells and their decomposition products after intracerebral hemorrhage, resulting in cerebrospinal fluid absorption dysfunction, imbalance of cerebrospinal fluid secretion and absorption, and the cerebrospinal fluid which can not be absorbed accumulates in the cerebral ventricular system, resulting in increased intracranial pressure and fluid accumulation, and compression of the brain tissues causing a series of symptoms. If head and neck pain, nausea and vomiting, poorer consciousness, unsteady gait, intellectual decline, urinary incontinence and other symptoms occur during the recovery period of cerebral hemorrhage, patients should be alerted to hydrocephalus, and it is recommended to review the craniocerebral CT.The treatment of hydrocephalus includes non-surgical and surgical treatments, and non-surgical treatments are mainly applicable to patients in early stage, with mild condition or slow development, and can use drugs to reduce the secretion of cerebrospinal fluid and drugs to lower cranial pressure. Non-surgical treatments are mainly for early, mild or slowly developing patients, and can be treated with drugs to reduce cerebrospinal fluid secretion and drugs to lower cranial pressure, or lumbar puncture to release cerebrospinal fluid. However, most of the non-surgical treatments are ineffective. At present, surgical treatment is still recommended for traffic hydrocephalus, and the most commonly used way is ventriculo-peritoneal shunt, in addition, lateral ventricular plexus resection or electrocautery can also be used for treatment.