Hydrocephalus And the Disorders of CSF Circulation

00:00 - Intro
00:35​ - Objectives
01:23​ - Case presentation
03:01​ - Clinical features
05:45 - Diagnostic studies (imaging)
11:15 - Circulation of CSF
13:52 - Differential diagnosis: Non-communicating vs Communicating hydrocephalus
16:12 - Example disorders causing non-communicating hydrocephalus
22:18 - Bulk theory vs hydrodynamic theory
25:40 - Example disorders causing communicating hydrocephalus
30:58 - Long-term treatment of hydrocephalus

This video is intended for medical students in preclinical years and on clinical rotations to understand the clinical presentation, mechanisms and the disorders causing hydrocephalus.

Created by:
Igor Rybinnik MD
Produced and narrated by:
Igor Rybinnik MD
Neurology Clerkship Director
Rutgers Robert Wood Johnson Medical School

Images adapted from, and redrawn whenever possible:
Netter F. Atlas of Human Anatomy, 6th ed. Philadelphia, Saunders, 2014.
Martin-Laez R, et al. Neurologia (English Edition), 2018;33(7):449
Netter FH. The Netter Collection of Medical Illustrations. 2nd ed. Saunders, 2013.
Kandel ER, et al. Principles of Neural Science 5th Edition. McGraw Hill, 2012.
Lee T, Mukundan S. Netter’s Correlative Imaging. Saunders, 2015.
Greitz D. Neurosurg Rev (2004) 27: 145–165
Terem I, et al. Magn Res in Med 2018;80(6):2549
Purulent meningitis gross pathology photo adapted from WikiDoc
Graff Radford NR, Jones DT. Continuum 2019;25(1):165-86
Kulkarni AV, et al. NEJM 2017;377(25):2456
Colloid cyst image courtesy of Weill Cornell Brain and Spine Center

Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School, Robert Wood Johnson University Hospital, or Rutgers University as a whole.

[simonb]

Dr Rybinnik, I am the chief neuro resident at a Canadian University. I just wanted to say I absolutely love your videos and channel. I don’t think there is any other educational neurology content of this quality out there. Many thanks for making neurology appetizing. I don’t know it there’s anything you need help with, but I would be love to contribute to this amazing endeavour.
Cheers.

[batakgt]

Hi Dr Rybinnik, i'm Adrian Joshua Velaro, a med student from Indonesia, it's hard to understand hydrocephalus for me only based on journals and books especially nowadays the lecture is full online, boring and difficult to understand. I have to learn extra from others to get a full picture of things i need to learn, surfing on internet takes a lot of time, but after find your channel and this video, i think your teaching method is very very cool, i just need to watch it over and over to get a full picture and it's very helpful. I kinda hope you can also teach about others outside the neurology, maybe collaboration with other, but i know it's too much to ask. Anyway, i hope you always get healthy so you can keep produce videos like this. THANK YOU SO MUCH!

[janerenwick]

I am a retired Neuro ICU nurse with an adult son with increased ICP due to aqueductal stenosis. This was an excellent review to help confirm treatment options. Thank you

[HassanHamed]

Dr Hassan HAMED, resident from Mauritania (Africa), thank you so much for this course.

[rashadomar]

Incredible video, Nobody teaches neurology like this. Really impressive

[rdmd]

Definitely the best explanation I've heard regarding the neuroimaging of hydrocephalus.

[josephgeffrard]

Good day, doc. I got diagnosed with NPH and underwent both the lumbar puncture + shunt placement; your video has enabled me to better understand the diagnosis. Thank you

[jttwmvh]

HIGH QUALITY AND HIGH YIELD. Its really satisfying to listen. Thank you so much for such a wonderful lecture. 3rd year medical student here.

[amedkandeel]

I'm 4th year medical student in Egypt, that's very nice, thanks for your effort 👏❤️

[edanurdinc]

I am a medical student in Turkey. You did an excellent lesson. You'r teaching is amazing and so much fun.

[zifangkb]

Best medical school lessons ever! Enjoy watching them! Thanks!

[InvisibleVicky]

I was diagnosed last year age 47 with LOVA hydrocephalus. I had an ETV which failed. After making me dangerously ill and in HDU with sale wasting syndrome and acute kidney injury stage 2 I then had a VP shunt fitted.

[franciscovillegas]

I have to congratulate you. Your video is very didactic, I think you do a great job in spreading science and medicine. Keep doing it.

[csingilingemo]

Your videos are amazingly useful. Please don't stop producing them. Thank you!

[MBBSZaraHutKay]

The Best Medical/Clinical Video I have ever found on Internet. Love and Thanks . I am a medical student & this was my first video of this channel. I have no words to thank you sir.

[tsheringdorjeesherpa]

Hats off to you Dr Rybinik….your teaching and videos are really great and easy to digest. Gr8 job….

[Will-bxhm]

5:50 Dr Rybinnik joking about trying to keep me awake when i'm literally falling asleep xD thank you for the amazing education!!

[JC-hunw]

Excellent! You are the Best Ever, A BIG THANK YOU !!

[nathancenz]

We need more videos like this. this is the best lecture I ever saw

[SakuraClow]

I love the way you explain everything! And make it easier too!!
I enjoy how interact with us through the screen, even when you cannot see us.
IT IS charming
I am watching all your videos! Thank youu so much!
Greets from México!