Hi, I'm sorry to hear about your shunt site pain. I am willing to bet that the most likely cause of these headaches
is scarring and overgrowth of the tissue at the site of insertion or at the site of the Omaya reservoir. If there is no omaya, then the programmable valve may be irritating the tissue. Also, very rarely, if any sutures were used to tether the device in place at the insertion site, they may have caused some irritation before they dissolved.
The question is. What can you do about it. I hesitate to recommend shunt revision because it's such an onerous thing that i would rather reserve it for an infection or a shunt malfunction.
In a few cases, back in residency, we injected a steroid
and an anesthetic
beneath the tissues of the reservoir and that helped the patient. But steroid have there own complications, not the least of which is an increased tendency to get infected when the injections happen often.
I wish I could be more helpful here. My best advice is to head back to your neurosurgeon and discuss if there is any local injection or treatment that could reduce the inflammation in that region of the scalp
I hope this helps. If you would like to discuss more with me or any of the other Neurosurgeons on the site, you can use our "Ask a Specialist" option. Thanks for coming to HealthCareMagic.com