Can patients with a CSF shunt SCUBA dive?

External lumbar drain- A pragmatic test for prediction of shunt outcomes in idiopathic normal pressure hydrocephalus

Acta Neurochir (2016) 158:1269–1272

Shunt placement for cerebrospinal fluid (CSF) diversion is one of the most commonly performed procedures in neurosurgery. Pleasure or sports diving is a popular sport enjoyed by millions. At present, no guidelines exist to affirm the safety of diving in the presence of a CSF shunt.

Methods Literature search and review of medical fitness regulations used by diving organisations.

Results Although the available evidence is anecdotal, no reports of shunt-related complications exist and in vitro studies show lasting functionality.

Conclusions Patients with CSF shunts should undergo careful evaluation including assessment of their cognitive and physical needs aswell as co-morbidities. Having a CSF shunt in situ is not in itself a contraindication to SCUBA diving.