Conclusion:
Total intracranial migration of VP shunt is a rare but serious
complication in patients with severe hydrocephalus. The best possible
approach to prevent shunt migration would be better anchorage of the
shunt to the pericranium and peritoneum, a frontal burr hole instead of
occipital and a smaller burr hole opening. In addition, regular
follow-up and educating parents regarding red flags and complications
should be practiced readily.