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Severe hyperglycorrhachia and status epilepticus after endoscopic aqueductoplasty: illustrative case

Anand A. Dharia, Ahmad Masri, Jay F. Rilinger, and Christian B. Kaufman

circumference, but his neurological exam was otherwise benign. Surgical options, which included endoscopic third ventriculostomy (ETV), ventriculoperitoneal shunt placement, and endoscopic fenestration with aqueductoplasty, were offered nonurgently when the patient reached 3 months of age. Considering the potential for future revisions with shunting and the 50% predicted failure rate calculated by the ETV success score, the family elected to proceed with endoscopic aqueductoplasty. At the time of surgery, intraventricular access was obtained via a right frontal approach using