In multisegment VPS systems, the weakest points for [[shunt disconnection]] are connector site, connector to the [[ventricular catheter]], and [[connector]] to [[chamber]] site. The causes for shunt disconnection in the multisegment VPS system are excessive [[traction]] movements at the cranial end, poor [[fixation]] at the [[cranial]] site, and [[break]] in [[ligature]]s. VPS disconnection is not always associated with [[shunt malfunction]], and in such cases, the entire VPS system can be safely removed. VPS system disconnection associated with other [[ventriculoperitoneal shunt]] [[complications]] that occurred in the same patient at the same time has also been reported in the [[literature]]
((Lo WB, Ramirez R, Rodrigues D, Solanki GA. Ventriculoperitoneal shunt disconnection associated with spontaneous knot formation in the peritoneal catheter. BMJ Case Rep. 2013 May 22;2013:bcr2013009590. doi: 10.1136/bcr-2013-009590. PMID: 23704448; PMCID: PMC3669854.))
((Haddadi K, Qazvini HR, Sahebi M. Ventriculoperitoneal shunt disconnection associated with loss of consciousness in a child patient: A case report and review of intra-abdominal complications of VP shunts. J Neurol Stroke. 2017;7:00237.)).