Conclusion:
TFV is a rare but serious impediment of ventriculoperitoneal shunt surgery and requires prompt diagnosis and intervention. This case highlights the importance of recognising clinical signs of TFV, using improved imaging to make an accurate diagnosis, and restoring CSF dynamics using appropriate interventional techniques. Early intervention not only reduces symptoms, but also prevents brain dysfunctions and provides better patient outcomes. The report emphasises about physicians treating patients with VP shunts need to remain vigilant to quickly identify and treat such problems.