Hydrocephalus is a disease in which an excess amount of cerebrospinal fluid (CSF) accumulates in the ventricles of the brain and the cerebrospinal fluid-containing spaces of the skull. The pathology can be congenital or acquired, and occurs in many neurological diseases and injuries of the central nervous system, both in children and adults.
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Conservative therapy allows only a temporary decrease in ICP (intracranial pressure) and improvement of the patient's condition.
Surgical treatment is the main method aimed at restoring the flow of cerebrospinal fluid, or creating alternative routes for drainage of cerebrospinal fluid from the cranial cavity.
Main methods:
Shunting
Installation of drainage systems
Endoscopic ventriculocisternostomy of the bottom of the third ventricle
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A wonderful specialist! I've seen him several times, and he's always been helpful! He listens carefully, examines me, and performs procedures that make you forget about pain for a long time! Thank you so much!
A person who has discerned their purpose in life is lucky, because they are exactly where they were destined to be, doing exactly what God called them to! And if this person is also a doctor, then their patients are three times lucky! We are talking about Dmitry Sergeevich Asyutin, Head of the Neurosurgical Department of Central Clinical Hospital No. 1 of the Presidential Executive Office of the Russian Federation. On November 9, 2025, I was admitted to the Neurosurgical Department of Central Clinical Hospital No. 1 with a diagnosis of degenerative stenosis with severe spinal canal compression. On November 10, 2025, under the guidance and direct participation of D.S. Asyutin, I underwent surgery: bilateral intracanal decompression with stabilization of spinal segments using interbody and transpedicular implants. I practically crawled into the emergency room, and five days later I was back on my feet, standing up straight for the first time in four months! For me, as an individual, a miracle of healing occurred, but for Dr. Dmitry Sergeyevich Asyutin, it's a daily (but not routine!) job: three or four surgeries a day! He performs a daily miracle for three or four patients, using his hands, mind, nerves, and health! Moreover, this miracle required a long and arduous journey of study and hard work spanning nearly a quarter of a century! He's a unique neurosurgeon, a daring talent who dares to correct, facilitate, and prolong the active, productive lives of his patients! You often hear that our doctors perform world-class surgeries... What world-class level?! There's nothing like it in the world, in terms of equipment, the erudition and professional training of its specialists, the highly qualified doctors, and the coherence and organization of all departments! There are isolated, isolated examples, but we can proudly say: we have our own Moscow Neurosurgical School, and Dmitry Sergeyevich Asyutin is a shining example and one of its leaders. During his five days in the hospital, Dmitry Sergeyevich revealed his human side: he SEES you (he doesn't stand before you like a monument, arms folded on his stomach, prattling over your head into the void, overwhelmed by a sense of his own importance). He looks you in the eyes, listens and hears, and understands your concerns! This is priceless today; only rare, true doctors, amidst today's rush for success, are capable of this! This means his vision is not "clouded" and his heart is beating within his chest! Our dear Dmitry Sergeyevich! On behalf of those healed by your remarkable hands and those (I believe, hundreds!) who will come to you with hope and faith for help, I wish you health, good luck, an easy journey, strength, and God's help and protection! Take care of yourself, for your loved ones, and for all who need your skill. People really need you!
I would like to express my sincere and profound gratitude to the entire team: neurosurgeon Kirill Aleksandrovich Shaidurov, assistant Andronik Melikovich Demerchan, anesthesiologist Daria Aleksandrovna Postoyalko, and the entire medical staff at the K+31 clinic for the surgery to remove my herniated disc. Your exceptional professionalism was the key not only to my successful treatment but also to my return to a full, active, pain-free life. From the very first moment, it was clear that I was in the hands of true experts. Neurosurgeon Kirill Aleksandrovich Shaidurov not only explained the diagnostic results in detail and clearly, showing the whole picture in the images, but also listened attentively to my concerns and thoroughly described the planned procedure. This approach, combining deep knowledge and human compassion, immediately instilled confidence. The team's work during the surgery and postoperative period deserves the highest praise. The teamwork was flawless: from the anesthesiologist, who ensured my comfort and well-being, to the assisting staff. The quality of postoperative care was also outstanding—the staff was attentive and responsive, and the rehabilitation recommendations were clear and personalized. You are not just brilliant specialists; you are a team that gives people health and confidence in the future. Thank you for your invaluable work, skill, and professionalism.
I would like to express my sincere gratitude to neurosurgeon Ilya Aleksandrovich, who helped me during the most difficult period of my life. I came to him with a tumor and in a wheelchair he prescribed treatment and gave professional recommendations! His high professionalism, deep knowledge and confidence in every word and action helped me cope with a difficult diagnosis and believe that even in the face of a tumor, you can maintain dignity, strength and hope. He is not only a master of his craft, but also knows how to listen, explain, support - in a human, warm, genuine way. This is a rare combination - the talent of a surgeon and a big heart. Each meeting with him restored my faith that I am not alone, that they will help me and that everything is possible. Thanks to his participation, the pain has become less, and life goes on. Thank him for the light, for the knowledge, for the human attitude and for the fact that he exists.
I would like to express my sincere gratitude to neurosurgeon Ilya Aleksandrovich, who helped me in the most difficult period of my life. I came to him with a tumor and a wheelchair, he prescribed treatment and gave professional recommendations! His high professionalism, deep knowledge and confidence in every word and action helped me cope with a difficult diagnosis and believe that even in the face of a tumor, you can maintain dignity, strength and hope. He is not only a master of his craft, but also knows how to listen, explain, support - in a human, warm, genuine way. This is a rare combination - the talent of a surgeon and a big heart. Each meeting with him restored my faith that I am not alone, that they will help me and that everything is possible. Thanks to his participation, the pain has become less, and life goes on. Thank him for the light, for the knowledge, for the human attitude and for the fact that he exists
In the fall of 2024, I went to the K+31 clinic, where I was correctly diagnosed and received the competent treatment that I really needed. I would like to note the highest professionalism of all the doctors who worked with me, and I express my heartfelt gratitude to neurologist Sitnikova O. Yu., gastroenterologist Anikina N. Yu., endocrinologist Pivovarova S. V., cardiologist Kambegova A. A., neurosurgeon Fumin I. A., and the nurses from the procedure room. Thank you very much for your work! Deep bow! I am grateful to you for your understanding, warmth, kindness, and desire to help. I wish you success in your difficult, but very necessary, noble work. Health to you, people in white coats!
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About the disease
Epidemiology
The incidence of the disease is from 100 to 350 cases per 100,000 people.
The mechanism of hydrocephalus development can be of 3 types:
The main reasons: