Which specialty is primarily responsible for checking shunt functioning in spina bifida care?

• A. Neurology
• B. Orthopedics
• C. Urology
• D. Nutrition

Answer: (A)

Shunt monitoring centers on the brain’s response to hydrocephalus and how the shunt is affecting neurological function. The neurologist is trained to assess changes in mental status, headaches, nausea or vomiting, irritability or lethargy, vision changes, and new or worsening motor or balance issues. These signs can indicate shunt blockage or overdrainage, and detecting them early is crucial to prevent brain injury. The neurologist uses clinical exams and coordinates imaging studies to evaluate shunt function, then works with neurosurgery to decide if intervention is needed. While other specialists contribute to overall care—orthopedics for bones and mobility, urology for bladder and urinary issues, nutrition for growth and diet—the task of checking and interpreting shunt function falls primarily to neurology in this multidisciplinary spina bifida team.