Child's Nervous System

, Volume 36, Issue 1, pp 209–212 | Cite as

Peripheral facial nerve palsy following ventriculoperitoneal shunting in an infant

  • Mehdi Golpayegani
  • Zohreh HabibiEmail author
  • Mahtab Rabbani Anari
  • Farideh Nejat
Case Report


Peripheral facial palsy due to injury to the extracranial segment of facial nerve following ventriculoperitoneal (VP) shunting has been reported in a few adults or adolescents. Herein, we present a case of iatrogenic facial nerve palsy secondary to VP shunt insertion in a 20-month infant. To the best of our knowledge, this is the first infantile case to be ever reported in the literature. Regarding the postnatal development of the mastoid and styloid process, the underdeveloped bony structures may render extracranial part of the facial nerve more vulnerable to blunt trauma. The lesson can be learned from this case is that tunneling procedure should be done with caution in pediatric age group especially around the mastoid area.


Ventriculoperitoneal (VP) shunting Peripheral facial nerve palsy Pediatric age group 


Compliance with ethical standards

Inform consent has been taken from parents to publish patient’s photographs.

Conflict of interest

The authors have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurosurgery, Loghman Hakim HospitalShahid Beheshti University of Medical SciencesTehranIran
  2. 2.Department of Neurosurgery, Children’s Medical CenterTehran University of Medical SciencesTehranIran
  3. 3.Department of Otorhinolaryngology, Children’s Medical CenterTehran University of Medical SciencesTehranIran

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