The cause of hydrocephalus should be eliminated if possible - e.g. colloid cysts of the 3rd ventricle, intraventricular meningioma, other obstructive causes.
The definitive treatment of hydrocephalus involves diversion of cerebrospinal fluid out of the ventricles of the brain to prevent increase in intracranial pressure (1).
Endoscopic third ventriculostomy has become a more recent, and important, treatment option for occlusive hydrocephalus associated with aqueductal stenosis or space-occupying lesions of or around the posterior third ventricle and upper brainstem (2,3):
Lumbar puncture may be used to relieve pressure in an acute communicating hydrocephalus.
Reference:
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