Mayo Clinic's approach

Our neurologists, radiologists and neurosurgeons are experts in the medical, procedural and surgical care for cerebrospinal fluid (CSF) conditions, including various types of hydrocephalus, CSF leaks, Chiari malformation and pseudotumor cerebri.

Mayo Clinic in Florida has a Cerebrospinal Fluid Dynamics Clinic that specializes in evaluating and treating people with all types of CSF conditions.

Pediatric neurosurgeons at Mayo Clinic have experience treating infants and children with CSF conditions. This team has access to the most advanced technologies and methods — including fetal surgery, MRI during surgery (intraoperative MRI) and minimally invasive surgery with endoscopy, which is a type of surgery using small incisions.

Advanced diagnosis and treatment

Mayo Clinic is recognized for its advanced approach to diagnosing and treating conditions such as hydrocephalus and pseudotumor cerebri (now called idiopathic intracranial hypertension), which often require brain shunt placement. Their use of dedicated imaging protocols, comprehensive walking pattern (gait) assessments, and artificial intelligence tools helps identify candidates for shunting earlier and more accurately.

All for one

At Mayo Clinic, your neurosurgeon consults with doctors in other fields of medicine to provide the care you or your child needs. The care team might include experts in many different fields. Some examples include:

Experts include not just doctors and surgeons, but also nurse practitioners, physical and occupational therapists, speech-language pathologists, patient educators, social workers, and child-life specialists. Coordinated care and genuine collaboration is what makes care at Mayo Clinic different.

Nationally recognized expertise

Mayo Clinic campuses are nationally recognized for expertise in cardiology and cardiovascular surgery:

  • Mayo Clinic in Rochester, Minnesota, Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, are ranked among the Best Hospitals for heart and heart surgery by U.S. News & World Report.
  • Mayo Clinic Children's in Rochester is ranked the No. 1 hospital in Minnesota, and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2024-2025 "Best Children's Hospitals" rankings.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Sept. 05, 2025
  1. Schulz LN, et al. Cerebrospinal fluid shunts to treat hydrocephalus and idiopathic intracranial hypertension: Surgical techniques and complication avoidance. Neurosurgery Clinics of North America. 2025; doi:10.1016/j.nec.2024.12.004.
  2. Garegnani L, et al. Ventriculo-peritoneal shunting devices for hydrocephalus. The Cochrane Database of Systematic Reviews. 2020; doi:10.1002/14651858.CD012726.pub2.
  3. Pearce RKB, et al. Shunting for idiopathic normal pressure hydrocephalus. The Cochrane Database of Systematic Reviews. 2024; doi:10.1002/14651858.CD014923.pub2.
  4. D'Antona L, et al. Cerebrospinal fluid shunts to treat hydrocephalus and idiopathic intracranial hypertension: Shunt catheters and valves. Neurosurgery Clinics of North America. 2025; doi:10.1016/j.nec.2024.12.003.
  5. Whitehead WE, et al. Infantile and childhood hydrocephalus. The New England Journal of Medicine. 2022; doi:10.1056/NEJMra2116504.
  6. Fernández-Méndez R, et al. Current epidemiology of cerebrospinal fluid shunt surgery in the UK and Ireland (2004-2013). Journal of Neurology, Neurosurgery, and Psychiatry. 2019; doi:10.1007/s00381-021-05132-9.
  7. Fernández Cornejo VJ, et al. Shunt technology for infants and a lifetime. Child's Nervous System. 2021; doi:10.1007/s00381-021-05132-9.
  8. Greenberg MS. Treatment of hydrocephalus. In: Greenberg's Handbook of Neurosurgery. 10th ed. Thieme; 2023. https://medone-neurosurgery.theime.com. Accessed June 18, 2025.
  9. Stanuszek A, et al. Return to play. World Neurosurgery. 2022; doi:10.1016/j.wneu.2014.06.043.
  10. Caruso JP, et al. Neurologic quality of life outcomes in patients with normal pressure hydrocephalus after ventriculoperitoneal shunt placement: A prospective assessment of cognition, mobility, and social participation. World Neurosurgery. 2024; doi:10.1016/j.wneu.2024.06.068.
  11. Raksin PB, ed. Hydrocephalus and shunt failure. Acute Care Neurosurgery by Case Management. Springer; 2022. https://ebookcentral.proquest.com. Accessed June 18, 2025.
  12. Haridas A, et al. Hydrocephalus in children: Management and prognosis. https://www.uptodate.com/contents/search. Accessed April 24, 2024.
  13. Nadel JL, et al. Thirty-day hospital readmission and surgical complication rates for shunting in normal pressure hydrocephalus: A large national database analysis. Neurosurgery. 2020; doi:10.1093/neuros/nyz299.
  14. Health Education & Content Services. Normal pressure hydrocephalus. Mayo Clinic; 2017.
  15. Winn HR, ed. Ventricular shunting procedures. In: Youmans & Winn Neurological Surgery. 8th ed. Elsevier; 2023. https://www.clinicalkey.com. Accessed June 17, 2025.
  16. Haridas A. Hydrocephalus in children: Physiology, pathogenesis, and etiology. https://www.uptodate.com/contents/search. Accessed July 16, 2025.
  17. Graff-Radford NR. Normal pressure hydrocephalus. https://www.uptodate.com/contents/search. Accessed July 16, 2025.
  18. Winn HR, ed. Shunting. In: Youmans and Winn Neurological Surgery. 8th ed. Elsevier; 2023. https://www.clinicalkey.com. Accessed June 17, 2025.
  19. Wang DJJ, et al. Neurofluids and the glymphatic system: Anatomy, physiology, and imaging. British Journal of Radiology. 2023; doi:10.1259/bjr.20230016.
  20. What to expect with hydrocephalus shunt surgery. Hydrocephalus Association. https://www.hydroassoc.org/hydrocephalus-shunt-surgery/. Accessed July 16, 2025.
  21. Health Education & Content Services. Intravenous (IV) sedation. Mayo Clinic; 2024.
  22. Adult-onset hydrocephalus. American Association of Neurological Surgeons. https://www.aans.org/patients/conditions-treatments/adult-onset-hydrocephalus. Accessed July 21, 2025.
  23. Eisen A. Disorders affecting the spinal cord. https://www.uptodate.com/contents/search. Accessed July 22, 2025.
  24. Medical review (expert opinion). Mayo Clinic. Aug. 13, 2025.