{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:52:45Z","timestamp":1786125165433,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T00:00:00Z","timestamp":1500508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/academic.oup.com\/journals\/pages\/about_us\/legal\/notices"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>Extensive cerebral resections for the treatment of epilepsy may result in a large intracranial dead space that is prone to recurrent hemorrhage, either due to mechanical dislodgement or the development of extensive subdural membranes. Several techniques have been proposed to decrease the risk of hemorrhage by either reducing or filling the remaining intracranial dead space.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION<\/jats:title>\n                    <jats:p>We present a case of persistent hemorrhage following functional hemispherectomy in a patient with a large porencephalic cyst. A treatment strategy involving both subdural space reduction and cranial vault filling with a vascularized free latissimus dorsi flap is discussed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Subdural space reduction and cranial vault filling with a vascularized free latissimus dorsi flap is a viable treatment alternative in patients with large areas of intracranial dead space.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opx159","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T07:04:54Z","timestamp":1500534294000},"page":"E63-E65","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Free Latissimus Dorsi Flap in Combination With Subdural Space Reduction for the Prevention of Recurrent Hemorrhage Following Hemispherectomy"],"prefix":"10.1227","volume":"14","author":[{"given":"Carolyn M","family":"Benson","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Joswig","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H Brian","family":"Evans","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A","family":"Steven","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,6]]},"reference":[{"issue":"3","key":"bib1-20231018","doi-asserted-by":"crossref","first-page":"E14","DOI":"10.3171\/FOC\/2008\/25\/9\/E14","article-title":"Hemispherotomy and other disconnective techniques","volume":"25","author":"De Ribaupierre","year":"2008","journal-title":"Neurosurg Focus"},{"issue":"3","key":"bib2-20231018","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1136\/jnnp.29.3.229","article-title":"Persistent intracranial bleeding as a complication of hemispherectomy","volume":"29","author":"Oppenheimer","year":"1966","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"11","key":"bib4-20231018","doi-asserted-by":"crossref","first-page":"1997","DOI":"10.1007\/s00381-013-2257-7","article-title":"Craniocerebral disproportion: a topical review and 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Sci"},{"issue":"2","key":"bib8-20231018","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s00381-014-2602-5","article-title":"Intact intracranial breast prosthesis: a 28-year CT follow-up after treatment of late hemispherectomy complications","volume":"31","author":"Sorano","year":"2015","journal-title":"Child's Nerv Syst"},{"issue":"8","key":"bib9-20231018","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1111\/j.1445-2197.1993.tb00474.x","article-title":"Hemispherectomy: a further modification using omentum vascularized free flaps","volume":"63","author":"Matheson","year":"1993","journal-title":"Aust N Z J Surg"},{"issue":"2","key":"bib10-20231018","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1055\/s-2007-1000151","article-title":"Reconstruction of skull defects with vascularized omentum transfer and split calvarial bone graft: two case reports","volume":"14","author":"Sugawara","year":"1998","journal-title":"J Reconstr 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