We are independent & ad-supported. We may earn a commission for purchases made through our links.
Advertiser Disclosure
Our website is an independent, advertising-supported platform. We provide our content free of charge to our readers, and to keep it that way, we rely on revenue generated through advertisements and affiliate partnerships. This means that when you click on certain links on our site and make a purchase, we may earn a commission. Learn more.
How We Make Money
We sustain our operations through affiliate commissions and advertising. If you click on an affiliate link and make a purchase, we may receive a commission from the merchant at no additional cost to you. We also display advertisements on our website, which help generate revenue to support our work and keep our content free for readers. Our editorial team operates independently of our advertising and affiliate partnerships to ensure that our content remains unbiased and focused on providing you with the best information and recommendations based on thorough research and honest evaluations. To remain transparent, we’ve provided a list of our current affiliate partners here.

What is Aqueductal Stenosis?

Mary McMahon
Updated May 17, 2024
Our promise to you
WiseGeek is dedicated to creating trustworthy, high-quality content that always prioritizes transparency, integrity, and inclusivity above all else. Our ensure that our content creation and review process includes rigorous fact-checking, evidence-based, and continual updates to ensure accuracy and reliability.

Our Promise to you

Founded in 2002, our company has been a trusted resource for readers seeking informative and engaging content. Our dedication to quality remains unwavering—and will never change. We follow a strict editorial policy, ensuring that our content is authored by highly qualified professionals and edited by subject matter experts. This guarantees that everything we publish is objective, accurate, and trustworthy.

Over the years, we've refined our approach to cover a wide range of topics, providing readers with reliable and practical advice to enhance their knowledge and skills. That's why millions of readers turn to us each year. Join us in celebrating the joy of learning, guided by standards you can trust.

Editorial Standards

At WiseGeek, we are committed to creating content that you can trust. Our editorial process is designed to ensure that every piece of content we publish is accurate, reliable, and informative.

Our team of experienced writers and editors follows a strict set of guidelines to ensure the highest quality content. We conduct thorough research, fact-check all information, and rely on credible sources to back up our claims. Our content is reviewed by subject-matter experts to ensure accuracy and clarity.

We believe in transparency and maintain editorial independence from our advertisers. Our team does not receive direct compensation from advertisers, allowing us to create unbiased content that prioritizes your interests.

Aqueductal stenosis is a narrowing of one of the channels in the brain that acts as a conduit for cerebrospinal fluid, the fluid that bathes the brain and provides protectant properties. In a person with aqueductal stenosis, the free flow of the fluid is restricted and the patient can develop hydrocephalus, a buildup of cerebrospinal fluid that leads to neurological complications over time. One of the most common causes of congenital hydrocephalus, where someone is born with fluid on the brain, is aqueductal stenosis.

This condition involves the cerebral aqueduct, also known as the aqueductal of Sylvius. This particular channel for cerebrospinal fluid runs between the third and fourth ventricles. When the aqueduct narrows, it limits the flow of cerebrospinal fluid, and the fluid can begin to back up and accumulate. Over time, this can cause swelling that will lead to brain damage by putting pressure on brain cells. In infants, it may cause distortions in skull shape because the developing skull expands to accommodate the excess fluid.

In congenital aqueductal stenosis, something goes wrong during the development of the brain and this channel is narrow or not fully formed, impairing the circulation of cerebrospinal fluid in the fetus. In acquired cases, someone develops a condition such as an infection, inflammation, or neurological disease that damages the aqueduct and causes it to narrow. This leads to obstructive hydrocephalus, where cerebrospinal fluid builds up because it has nowhere to go.

People with aqueductal stenosis usually experience headaches that may worsen over time and do not resolve with rest or medications. Nausea and vomiting can also develop as a result of the pressure on the brain. Altered level of consciousness is another symptom that tends to occur as the hydrocephalus persists untreated. Generally, any time people experience a combination of headaches, mood changes, and nausea, it can be a warning sign that there is a neurological problem.

Medical imaging studies of the brain will be used to determine what is going on inside and to determine how much damage has occurred, if any. The recommended treatment is usually installation of a shunt to allow the excess cerebrospinal fluid to safely drain. If a tumor is involved, surgery to remove the tumor is recommended and the removal of the growth should resolve the hydrocephalus. Other treatment options can include radiation treatment of tumors that are not considered operable. These treatments are performed by a neurosurgeon, a physician who specializes in performing surgery on the brain.

WiseGeek is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Mary McMahon
By Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a WiseGeek researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

Discussion Comments
By pleonasm — On Dec 02, 2011

Even adults can develop hydrocephalus, and unfortunately, many of the symptoms are things that could also be considered symptoms of old age, so even if you think someone is just getting older, you should maybe get them a full examination if they get some of the symptoms. The classic ones are apparently continence, clumsiness, and dementia. Often people get headaches and have problems with their vision as well.

I can easily see someone dismissing these complaints as simply part of getting older, when they actually have an origin in cerebral aqueductal stenosis.

By indigomoth — On Dec 02, 2011

@umbra21 - Unfortunately, even though shunting can be effective for people with aqueductal stenosis of all kinds, it has a high failure rate, simply because of its nature. You can't easily stick something into the brain and hope for the best while it drains out fluid.

Many people who have a shunt end up having to have more surgery in order to readjust it, or end up with infections which can be potentially very dangerous considering where they are located.

Fortunately, the technology is always improving. Unfortunately, we still have to wait until it does and there are people who need the treatment now.

By umbra21 — On Dec 01, 2011

I remember seeing a picture of a baby born with fluid on the brain when I was in high school. It was back lit so that the child's head seemed huge and you could see the arteries through its skull.

I don't know about that particular baby, but I remember looking at that picture and thinking that hydrocephalus was a terrible thing that no one could possibly survive.

Of course, they can shunt the fluid out now, and often children born with this condition suffer from few side effects (although others can end up with brain damage).

Even more interesting, I think they can detect this in the womb. The earlier they fix it, the better the outcome, no doubt.

Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a...

Learn more
WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.

WiseGeek, in your inbox

Our latest articles, guides, and more, delivered daily.