Can patients with a CSF shunt SCUBA dive?

Abstract

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. Literature search and review of medical fitness regulations used by diving organisations. Although the available evidence is anecdotal, no reports of shunt-related complications exist and in vitro studies show lasting functionality. Patients with CSF shunts should undergo careful evaluation including assessment of their cognitive and physical needs as well as co-morbidities. Having a CSF shunt in situ is not in itself a contraindication to SCUBA diving.