Extrapyramidal symptoms as a ventriculoperitoneal shunt complication in a 12-year-old male child

Hydrocephalus is one of the most common clinical conditions affecting the central nervous system, with an incidence of congenital hydrocephalus of 3-4 per 1,000 births. Placement of a ventriculoperitoneal shunt (VPS) is an established treatment to regulate the drainage of cerebrospinal fluid (CSF) in hydrocephalus, but several complications may occur. We report here the case of a 12-year-old male child who presented extrapyramidal symptoms following the placement of a VPS for the management of occlusive hydrocephalus. Extrapyramidal symptoms have been reported only rarely as a complication in patients with VPS.