Post-traumatic hydrocephalus, unspecified
ICD-10 G91.3 is a billable code used to indicate a diagnosis of post-traumatic hydrocephalus, unspecified.
Post-traumatic hydrocephalus is a condition characterized by an accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain following a traumatic injury. This condition can arise from various types of head trauma, including concussions, contusions, or more severe injuries that disrupt the normal flow and absorption of CSF. Symptoms may include headaches, nausea, vomiting, cognitive impairments, and changes in consciousness. The condition can lead to increased intracranial pressure, which may result in further neurological deficits if not managed appropriately. Diagnosis typically involves neuroimaging techniques such as CT or MRI scans to visualize ventricular enlargement and assess for any underlying causes of obstruction or impaired CSF absorption. Treatment options may include the placement of a shunt to facilitate CSF drainage and alleviate pressure on the brain. The unspecified nature of this code indicates that the specific cause or type of post-traumatic hydrocephalus has not been clearly defined, necessitating careful clinical evaluation and documentation to guide management.
Detailed history of trauma, neurological examination findings, imaging results, and treatment plans.
Patients presenting with headaches, cognitive changes, or signs of increased intracranial pressure following head trauma.
Ensure that all neurological assessments and imaging studies are documented to support the diagnosis.
Surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Patients requiring shunt placement or other surgical interventions for hydrocephalus.
Document the rationale for surgical intervention and any complications encountered.
Used when surgical intervention is required for hydrocephalus management.
Surgical notes, pre-operative assessments, and post-operative follow-up documentation.
Ensure that the surgical necessity is well-documented.
Common symptoms include headaches, nausea, vomiting, cognitive changes, and signs of increased intracranial pressure such as altered consciousness.
Diagnosis is typically made through neuroimaging studies like CT or MRI, which reveal ventricular enlargement and assess for any obstructions in CSF flow.
