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Lhermitte Duclos Disease is commonly associated with progressive mass effects of posterior fossa and typically presents with headaches, cerebellar dysfunction, occlusive hydrocephalus and cranial nerve palsies. The anaesthetic management of these patients requires clear understanding of the disease. Here we describe anaesthetic management of an 18 year old female having Lhermitte Duclos Disease posted for VP Shunting under general anaesthesia.