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Cronobacter brain abscess and refractory epilepsy in a newborn: role of epilepsy surgery. Illustrative case

Meredith Yang, John Tsiang, Melissa A. LoPresti, and Sandi Lam

underwent a corpus callosotomy and additional abscess debridement. Seizures resolved after surgery, with confirmatory follow-up EEG on hospital day 45, which showed no electrographic seizures. Abscess resolution was confirmed with surveillance imaging ( Fig. 4 ). The patient completed an 8-week course of intravenous cefepime and gentamicin. As a sequela of his intracranial infection, the patient had postinfectious hydrocephalus, subsequently managed by an endoscopic third ventriculostomy, septostomy, and aqueductoplasty, with a durable result at the 18-month follow

Open access

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