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Hydrocephalous and not walking usually mean something different than just hydrocephalous. A lot of times that combo comes with Spinabifida. Some people's shunts last a decade. Some need them changed yearly. It seems to be a luck of the draw thing rather than any particular surgeon skill level. The severity of the effects from hydrocephalous depends largely on how close in time to the actual hydrocephalous the shunt was put in the first time. You could expect almost no effect if it iwas caught early and severe effects if it went on for a long time without treatment.