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Published: December 9, 2025

Common Pediatric Conditions Requiring Neurosurgical Intervention

Medically Reviewed by:
Adam E. Ammar, MD
Pediatric Neurosurgeon
Updated On: 30 Jan 2025

Learning that a child may need brain or spine surgery can be overwhelming for any parent. Pediatric neurosurgical conditions often involve complex disorders of the brain, spine, or nervous system that can affect a child’s growth, development, and overall quality of life.

Pediatric neurosurgery focuses on diagnosing and treating these conditions safely and effectively, often using advanced and minimally invasive techniques. This blog explains the most common pediatric neurosurgical conditions, when neurosurgical intervention is required, and how specialized care at the New Jersey Pediatric Neuroscience Institute (NJPNI) supports children and families.

Why Would a Child Need Neurosurgical Intervention?

Neurosurgical intervention may be recommended when a condition:

  • Affects brain or spinal cord function 
  • Causes increased pressure on the brain 
  • Interferes with normal development 
  • Poses long-term neurological risks

Common reasons include:

  • Hydrocephalus (fluid buildup in the brain) 
  • Congenital brain or spine abnormalities 
  • Brain or spinal tumors 
  • Traumatic brain or spinal injuries

Early diagnosis and treatment are critical to prevent permanent neurological damage.

Common Pediatric Conditions Requiring Neurosurgery

1. Hydrocephalus

Hydrocephalus occurs when cerebrospinal fluid accumulates in the brain, increasing pressure.

Symptoms may include:

  • Rapid head growth in infants 
  • Vomiting or headaches 
  • Developmental delays 
  • Irritability or poor feeding

Treatment options:

  • Ventriculoperitoneal (VP) shunt placement 
  • Endoscopic third ventriculostomy (ETV)

Hydrocephalus is one of the most common reasons for infant brain surgery.

2. Craniosynostosis

Craniosynostosis happens when skull bones fuse too early, restricting brain growth.

Why surgery is needed:

  • Correct abnormal head shape 
  • Allow normal brain development 
  • Prevent increased intracranial pressure

Early pediatric neurosurgical intervention leads to excellent long-term outcomes.

3. Brain and Spinal Cord Tumors

Tumors in the brain or spine can disrupt vital neurological functions.

Possible symptoms:

  • Persistent headaches 
  • Seizures 
  • Balance or coordination problems 
  • Changes in vision or behavior

Pediatric neurosurgeons use advanced imaging and precision techniques to safely remove tumors while protecting healthy tissue.

4. Neural Tube Defects

Neural tube defects, such as spina bifida, affect the brain or spinal cord during early development.

Why neurosurgery is required:

  • Prevent infections 
  • Protect nerve function 
  • Improve mobility and long-term outcomes

Early surgical repair is often essential.

5. Congenital Brain and Spine Anomalies

Some children are born with conditions such as:

  • Chiari malformations 
  • Tethered spinal cord 
  • Brain malformations

These conditions can affect breathing, movement, or bladder control and often require neurosurgical correction.

6. Traumatic Brain and Spine Injuries

Accidents, falls, or sports injuries can cause serious neurological damage.

Neurosurgical care may be needed for:

  • Brain swelling or bleeding 
  • Skull fractures 
  • Spinal cord compression

Prompt intervention can be life-saving and prevent long-term disability.

7. Severe Neurological Movement Disorders

In select cases, neurosurgery may help children with severe movement disorders related to cerebral palsy or other neurological conditions.

Procedures may reduce muscle stiffness, pain, and improve quality of life when combined with therapy.

How Are Pediatric Neurosurgical Conditions Diagnosed?

Diagnosis may involve:

  • Detailed neurological examinations 
  • MRI or CT imaging 
  • Ultrasound in infants 
  • Genetic testing (when appropriate)

Parents should seek evaluation if a child shows signs of delayed development, abnormal head shape, seizures, or neurological changes.

Is Pediatric Neurosurgery Safe?

Yes. Pediatric neurosurgery is highly specialized and performed by surgeons trained specifically in treating children. Advances in technology and minimally invasive techniques have significantly improved safety and recovery outcomes.

Pediatric Neurosurgical Care at NJPNI

At the New Jersey Pediatric Neuroscience Institute, children receive expert, family-centered care from a dedicated pediatric neurosurgery team.

Why Families Choose NJPNI:

  • Board-certified pediatric neurosurgeons 
  • Advanced imaging and surgical technology 
  • Multidisciplinary collaboration 
  • Compassionate, child-focused care

Every treatment plan is tailored to the child’s condition, age, and developmental needs.

Schedule a Consultation at NJPNI

Pediatric neurosurgery can be life-changing for children facing complex neurological conditions. Early diagnosis and expert care make a critical difference.

Contact the New Jersey Pediatric Neuroscience Institute today to schedule a consultation and learn how our pediatric neurosurgery team can support your child’s health and future.

Frequently Asked Questions (FAQs)

What conditions require pediatric neurosurgery?

Hydrocephalus, brain tumors, craniosynostosis, neural tube defects, trauma, and congenital brain or spine abnormalities.

Is brain surgery safe for infants?

Yes. Infant brain surgery is performed using specialized techniques designed for safety and long-term development.

When should a child see a pediatric neurosurgeon?

If a child has seizures, abnormal head growth, neurological symptoms, or diagnosed brain or spine conditions.

Does every neurological condition require surgery?

No. Many conditions are managed non-surgically, but neurosurgery is recommended when necessary for safety or development.

NJPNI Office Locations

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Caring for your child's well-being is our number one priority. 
Schedule an appointment with a world-class pediatric neurology and neurosurgery team at NJPNI now.
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NOTICE: This website is for informational purposes only and is not intended as medical advice or as a substitute for a patient/physician relationship.

NJPNI is committed to creating a culturally diverse, inclusive and collaborative community for patients and their families, employees and associates where each person is celebrated and has a sense of equal belonging. See our DEI Statement Page for more information.

NJPNI does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations part 80, 84, and 91.

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