{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:09:58Z","timestamp":1790226598021,"version":"4.1.0"},"reference-count":94,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Selective intraindividual weakness in successive processing, which is a unique verbal working memory scale included in the Das-Naglieri Cognitive Assessment System (CAS), is considered one of the intrinsic neurocognitive characteristics in pediatric moyamoya disease (MMD). The aim of the study was to elucidate the association between cerebral blood flow (CBF) and weakness in successive processing, and to identify regions related to the weakness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The present cross-sectional study included children who had been diagnosed with MMD and were assessed using neuropsychological tests before surgery between June 2016 and December 2023. According to the CAS manual, intraindividual difference was calculated by subtracting the mean of the 4 standard scores from each standard score. Each patient was classified as either manifesting \"intraindividual weakness in successive processing\" (intraindividual difference of successive processing &lt; 0) or not (intraindividual difference of successive processing \u2265 0), and CBF acquired with resting-state SPECT was compared between groups. Three-dimensional stereotactic surface projection (3D-SSP) was also used for topographical comparison of CBF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of 51 children (mean age \u00b1 SD at admission 8.0 \u00b1 2.6 years) who underwent preoperative neuropsychological tests, 43 were included in the CBF analysis. Both standard scores and intraindividual difference of the CAS significantly varied across 4 domains (p = 0.006 and p &lt; 0.001, respectively), and those of successive processing were the lowest. Of the children analyzed, 35 (68.7%) were classified as having intraindividual weakness in successive processing. Multiple logistic regression analysis revealed the severest ischemic grade was significantly associated with intraindividual weakness in successive processing (OR 5.49 [95% CI 1.12\u201327.06]). Three-dimensional SSP analysis demonstrated a significant CBF decrease in the left dorsolateral and medial prefrontal cortexes in the children showing intraindividual weakness in successive processing compared with those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Intraindividual weakness in successive processing typical of MMD might be associated with reduced CBF in the dorsolateral and medial prefrontal cortex, predominantly in the left hemisphere. Further studies in this area could contribute to the improvement of long-term social outcomes for patients with MMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2024.11.peds24495","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T20:29:22Z","timestamp":1743280162000},"page":"581-590","source":"Crossref","is-referenced-by-count":2,"title":["Lower prefrontal blood flow associated with intraindividual weakness in successive processing: a neurocognitive study of pediatric moyamoya disease"],"prefix":"10.3171","volume":"35","author":[{"given":"Yusuke","family":"Kusano","sequence":"first","affiliation":[{"name":"Advanced Occupational Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto;"},{"name":"Rehabilitation Unit, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Funaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Ueda","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Medical Welfare, Kyoto Koka Women\u2019s University, Kyoto;"},{"name":"Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsukasa","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Kyoto University Graduate School of Medicine, Kyoto;"},{"name":"Integrated Clinical Education Center, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanade","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noyuri","family":"Nishida","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ami","family":"Tabata","sequence":"additional","affiliation":[{"name":"Advanced Occupational Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasutaka","family":"Fushimi","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuhiko","family":"Mitsumoto","sequence":"additional","affiliation":[{"name":"Department of Clinical Radiology Service, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryosuke","family":"Ikeguchi","sequence":"additional","affiliation":[{"name":"Rehabilitation Unit, Kyoto University Hospital, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Liang","sequence":"additional","affiliation":[{"name":"Advanced Occupational Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Inadomi","sequence":"additional","affiliation":[{"name":"Advanced Occupational Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susumu","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Stroke Support Center, Kyoto University Hospital, Kyoto; and"},{"name":"Moyamoya Disease Support Center, Kyoto University Hospital, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Arakawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Stroke","first-page":"332","article-title":"Cognitive functions in children and adults with moyamoya vasculopathy: a systematic review and meta-analysis","volume":"20","author":"Kronenburg A","year":"2018","unstructured":"Kronenburg A, van den Berg E, van Schooneveld MM,  Cognitive functions in children and adults with moyamoya vasculopathy: a systematic review and meta-analysis. 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