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.