en جراحی اعصاب Neurosurgery گزارش مورد Case Report <div style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Tahoma;">Hydrocephalus is a neurological disorder characterized by the abnormal accumulation of cerebrospinal fluid in the brain ventricles, which can cause increased intracranial pressure and damage to brain tissue. Surgical intervention, particularly ventriculoperitoneal (VP) shunt placement, is the mainstay of treatment for hydrocephalus; however, it is associated with complications, such as infection, blockage, and malfunction. This case report presents a non-surgical approach for the treatment of VP shunt dysfunction through regular tactile stimulation of the shunt pump. A 40-year-old female patient with a calcified VP shunt, originally placed in infancy, presented with symptoms of shunt dysfunction. Instead of surgical replacement, the patient was advised to perform a tactile regimen consisting of fifteen massages per day on the shunt pump. After 10 days of this intervention, the patient showed significant improvement in symptoms, and no shunt-related complications were observed during the six-month follow-up period. This case highlights the potential benefits of non-invasive interventions for VP shunt dysfunction, particularly in cases where traditional surgical methods may pose significant risks. However, the findings are limited to a single case, and further research is necessary to assess the safety and effectiveness of this approach before it can be widely adopted as a treatment option.</span></span></div> Complications, Hydrocephalus, Ventriculoperitoneal Shunt 35 38 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-459-1&slc_lang=en&sid=1 Mohammad Khani-Eshratabadi Mohammadkhan@gmail.com 100319475328460010817 100319475328460010817 No Department of Medical Laboratory Sciences, Kashmar School of Medical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran Sina Salati Sinasalati@gmail.com 100319475328460010818 100319475328460010818 No Department of Emergency Medicine, Nursing and Midwifery School, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran Abolfazl Tashakori AbolfazlTashakori@gmail.com 100319475328460010819 0009-0008-9764-0771 No Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran Mahtab Ghaemi ghaemim881@gmail.com 100319475328460010820 100319475328460010820 No Department of Internal Medicine, Birjand University of Medical Sciences, Birjand, Iran Daniel Kheradmand daniel.kheradmand.md@gmail.com 100319475328460010821 100319475328460010821 Yes Department of Neurosurgery, Birjand University of Medical Sciences, Birjand, Iran