Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/24/2025

Congenital Hydrocephalus Classification and Treatment

Clinical Implications

  • Noncommunicating hydrocephalus may be amenable to endoscopic third ventriculostomy in some cases, according to The Lancet Global Health 1

Challenges in Classification

  • The hydrocephalus literature is characterized by poor consensus regarding etiological classification, with limited access to advanced imaging in many regions hampering accurate classification, as reported by The Lancet Global Health 1
  • A significant proportion of congenital hydrocephalus cases (approximately 20%) have unclear etiology, as noted by The Lancet Global Health 2