{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:28:13Z","timestamp":1792618093578,"version":"4.5.0"},"reference-count":41,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The goal of this study was to assess the complications associated with vertical parasagittal hemispherotomy (VPH), the impact of incomplete disconnection on long-term seizure freedom, and how VPH impacts cognitive development.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A retrospective evaluation was performed in all patients who had undergone VPH during 1991\u20132022 at the authors\u2019 institution. Two-year follow-up data were available for 45 patients, and there were 6-month data for 3 more. All available postoperative MRI studies (31\/48, 64.6%) were reviewed. Before 2010, postoperative MRI was only performed if seizures recurred.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Primary VPH led to Engel class I in 73% of patients. Acquired etiologies had a higher rate of Engel I compared to developmental and progressive etiologies (96% vs 46% and 44%, p &lt; 0.001). Nearly half of patients (45%) showed improved cognitive trajectories as opposed to their preoperative ones, whereas in 45% trajectories remained unchanged. Additionally, 5 patients (10%) exhibited new major deficits or accelerated cognitive deterioration after VPH. Surgical complications occurred in 14 patients (29%) after the first VPH; 4 cases were classified as transient, resolving during follow-up without surgical intervention. Nontransient complications included 8 cases of hydrocephalus requiring surgical treatment, 1 shunted subdural hygroma, and 1 case of CSF leakage from the wound. Diabetes insipidus occurred in 6 patients, with all resolving spontaneously. Residual connections were present in 16 patients, primarily in the temporomesial region. Seven patients remained seizure free despite visible residual connections.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>VPH is a highly effective treatment for drug-resistant hemispheric epilepsy, resulting in durable seizure freedom and often favorable cognitive outcomes. Diabetes insipidus in addition to hydrocephalus is a common complication after VPH. Incomplete disconnection does not necessarily preclude seizure freedom.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.9.peds24281","type":"journal-article","created":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T02:21:12Z","timestamp":1729909272000},"page":"1-11","source":"Crossref","is-referenced-by-count":6,"title":["Outcomes and complications of vertical parasagittal hemispherotomy in children: a nationwide population-based study"],"prefix":"10.3171","author":[{"given":"Vincent","family":"Zheng","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Faculty of Medicine, University of Helsinki, Finland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri","family":"Lehtinen","sequence":"additional","affiliation":[{"name":"Pediatric Neurology, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Faculty of Medicine, University of Helsinki, Finland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atte","family":"Karppinen","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Faculty of Medicine, University of Helsinki, Finland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eija","family":"Gaily","sequence":"additional","affiliation":[{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heta","family":"Leinonen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Helsinki, Finland; and"},{"name":"Department of Neurosurgery, Waikato Hospital, Hamilton, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e4ivi","family":"Koroknay-P\u00e1l","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Faculty of Medicine, University of Helsinki, Finland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aki","family":"Laakso","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Faculty of Medicine, University of Helsinki, Finland; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eeva-Liisa","family":"Mets\u00e4honkala","sequence":"additional","affiliation":[{"name":"Pediatric Neurology, Helsinki University Hospital, Helsinki, Finland;"},{"name":"Epilepsia-Helsinki, Helsinki University Hospital, Helsinki, Finland;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"JAMA","first-page":"168","article-title":"The present status of a patient who had the right cerebral hemisphere removed","volume":"111","author":"McKenzie K","year":"1938","unstructured":"McKenzie K. The present status of a patient who had the right cerebral hemisphere removed. JAMA. 1938;111:168\u2013183."},{"issue":"4","key":"b2","series-title":"J Neurol Neurosurg Psychiatry","first-page":"243","article-title":"Infantile hemiplegia treated by removing one cerebral hemisphere","volume":"13","author":"Krynauw RA","year":"1950","unstructured":"Krynauw RA. Infantile hemiplegia treated by removing one cerebral hemisphere. J Neurol Neurosurg Psychiatry. 1950;13(4):243\u2013267."},{"issue":"2","key":"b3","series-title":"Can J Neurol Sci","first-page":"71","article-title":"Hemispherectomy for seizures revisited","volume":"10","author":"Rasmussen T","year":"1983","unstructured":"Rasmussen T. Hemispherectomy for seizures revisited. Can J Neurol Sci. 1983;10(2):71\u201378."},{"issue":"5","key":"b4","series-title":"Neurosurgery","first-page":"975","article-title":"Peri-insular hemispherotomy: surgical principles and anatomy","volume":"37","author":"Villemure JG","year":"1995","unstructured":"Villemure JG, Mascott CR. Peri-insular hemispherotomy: surgical principles and anatomy. Neurosurgery. 1995;37(5):975\u2013981."},{"issue":"2 Suppl 1","key":"b5","series-title":"Neurosurgery","first-page":"ONS19","article-title":"Vertical parasagittal hemispherotomy: surgical procedures and clinical long-term outcomes in a population of 83 children","volume":"60","author":"Delalande O","year":"2007","unstructured":"Delalande O, Bulteau C, Dellatolas G,  Vertical parasagittal hemispherotomy: surgical procedures and clinical long-term outcomes in a population of 83 children. Neurosurgery. 2007;60(2 Suppl 1):ONS19\u2013ONS32."},{"issue":"11","key":"b6","series-title":"Epilepsia","first-page":"1905","article-title":"Vertical perithalamic hemispherotomy: a single-center experience in 40 pediatric patients with epilepsy","volume":"54","author":"Dorfer C","year":"2013","unstructured":"Dorfer C, Czech T, Dressler A,  Vertical perithalamic hemispherotomy: a single-center experience in 40 pediatric patients with epilepsy. Epilepsia. 2013;54(11):1905\u20131912."},{"issue":"3","key":"b7","series-title":"Neurology","first-page":"253","article-title":"Longitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children","volume":"80","author":"Moosa AN","year":"2013","unstructured":"Moosa AN, Gupta A, Jehi L,  Longitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children. Neurology. 2013;80(3):253\u2013260."},{"issue":"6","key":"b8","series-title":"J Neurosurg","first-page":"1627","article-title":"Lateral versus vertical hemispheric disconnection for epilepsy: a systematic review and meta-analysis","volume":"136","author":"Cossu M","year":"2021","unstructured":"Cossu M, Nichelatti M, De Benedictis A, Rizzi M. Lateral versus vertical hemispheric disconnection for epilepsy: a systematic review and meta-analysis. J Neurosurg. 2021;136(6):1627\u20131637."},{"key":"b9","series-title":"Epilepsy Behav","first-page":"22","article-title":"Outcome after hemispherotomy in patients with intractable epilepsy: comparison of techniques in the Italian experience","volume":"93","author":"de Palma L","year":"2019","unstructured":"de Palma L, Pietrafusa N, Gozzo F,  Outcome after hemispherotomy in patients with intractable epilepsy: comparison of techniques in the Italian experience. Epilepsy Behav. 2019;93:22\u201328."},{"issue":"7","key":"b10","series-title":"Childs Nerv Syst","first-page":"2153","article-title":"Hemispherotomy for pediatric epilepsy: a systematic review and critical analysis","volume":"37","author":"Lopez AJ","year":"2021","unstructured":"Lopez AJ, Badger C, Kennedy BC. Hemispherotomy for pediatric epilepsy: a systematic review and critical analysis. Childs Nerv Syst. 2021;37(7):2153\u20132161."},{"issue":"7","key":"b11","series-title":"Epilepsia","first-page":"1800","article-title":"Hemispherotomy in children: a retrospective analysis of 152 surgeries at a single center and predictors for long-term seizure outcome","volume":"64","author":"Kalbhenn T","year":"2023","unstructured":"Kalbhenn T, Cloppenborg T, Woermann FG,  Hemispherotomy in children: a retrospective analysis of 152 surgeries at a single center and predictors for long-term seizure outcome. Epilepsia. 2023;64(7):1800\u20131811."},{"issue":"5","key":"b12","series-title":"Epilepsia","first-page":"1214","article-title":"Not surgical technique, but etiology, contralateral MRI, prior surgery, and side of surgery determine seizure outcome after pediatric hemispherotomy","volume":"64","author":"Ramantani G","year":"2023","unstructured":"Ramantani G, Bulteau C, Cserpan D,  Not surgical technique, but etiology, contralateral MRI, prior surgery, and side of surgery determine seizure outcome after pediatric hemispherotomy. Epilepsia. 2023;64(5):1214\u20131224."},{"issue":"3","key":"b13","series-title":"Epilepsia","first-page":"243","article-title":"The cognitive outcome of hemispherectomy in 71 children","volume":"45","author":"Pulsifer MB","year":"2004","unstructured":"Pulsifer MB, Brandt J, Salorio CF, Vining EPG, Carson BS, Freeman JM. The cognitive outcome of hemispherectomy in 71 children. Epilepsia. 2004;45(3):243\u2013254."},{"issue":"Pt 3","key":"b14","series-title":"Brain","first-page":"556","article-title":"Clinical outcomes of hemispherectomy for epilepsy in childhood and adolescence","volume":"126","author":"Devlin AM","year":"2003","unstructured":"Devlin AM, Cross JH, Harkness W,  Clinical outcomes of hemispherectomy for epilepsy in childhood and adolescence. Brain. 2003;126(Pt 3):556-566."},{"issue":"6","key":"b15","series-title":"Epilepsia","first-page":"1046","article-title":"Seizure control and developmental trajectories after hemispherotomy for refractory epilepsy in childhood and adolescence","volume":"54","author":"Ramantani G","year":"2013","unstructured":"Ramantani G, Kadish NE, Brandt A,  Seizure control and developmental trajectories after hemispherotomy for refractory epilepsy in childhood and adolescence. Epilepsia. 2013;54(6):1046\u20131055."},{"issue":"4","key":"b16","series-title":"Epilepsia","first-page":"676","article-title":"Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009","volume":"51","author":"Berg AT","year":"2010","unstructured":"Berg AT, Berkovic SF, Brodie MJ,  Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia. 2010;51(4):676\u2013685."},{"issue":"6","key":"b17","series-title":"Epilepsia","first-page":"1333","article-title":"Methodology for classification and definition of epilepsy syndromes with list of syndromes: report of the ILAE Task Force on Nosology and Definitions","volume":"63","author":"Wirrell EC","year":"2022","unstructured":"Wirrell EC, Nabbout R, Scheffer IE,  Methodology for classification and definition of epilepsy syndromes with list of syndromes: report of the ILAE Task Force on Nosology and Definitions. Epilepsia. 2022;63(6):1333\u20131348."},{"key":"b18","series-title":"Surgical Treatment of the Epilepsies","first-page":"609","article-title":"Outcome with respect to epileptic seizures","author":"Engel J Jr","year":"1993","unstructured":"Engel J Jr, Van Ness PC, Rasmussen TB, Ojemann LM. Outcome with respect to epileptic seizures. In: Engel J Jr,  ed. Surgical Treatment of the Epilepsies. 2nd ed. Raven Press; 1993:609-621."},{"issue":"11","key":"b19","series-title":"Epilepsia","first-page":"2685","article-title":"Classification of complications of epilepsy surgery and invasive diagnostic procedures: a proposed protocol and feasibility study","volume":"62","author":"Bjellvi J","year":"2021","unstructured":"Bjellvi J, Cross JH, Gogou M,  Classification of complications of epilepsy surgery and invasive diagnostic procedures: a proposed protocol and feasibility study. Epilepsia. 2021;62(11):2685\u20132696."},{"issue":"11","key":"b20","series-title":"Epilepsia","first-page":"2707","article-title":"Comparison of the real-world effectiveness of vertical versus lateral functional hemispherotomy techniques for pediatric drug-resistant epilepsy: a post hoc analysis of the HOPS study","volume":"62","author":"Fallah A","year":"2021","unstructured":"Fallah A, Lewis E, Ibrahim GM,  Comparison of the real-world effectiveness of vertical versus lateral functional hemispherotomy techniques for pediatric drug-resistant epilepsy: a post hoc analysis of the HOPS study. Epilepsia. 2021;62(11):2707\u20132718."},{"issue":"5","key":"b21","series-title":"Childs Nerv Syst","first-page":"583","article-title":"Rasmussen encephalitis: long-term outcome after surgery","volume":"25","author":"Terra-Bustamante VC","year":"2009","unstructured":"Terra-Bustamante VC, Machado HR, dos Santos Oliveira R,  Rasmussen encephalitis: long-term outcome after surgery. Childs Nerv Syst. 2009;25(5):583\u2013589."},{"issue":"5","key":"b22","series-title":"Epileptic Disord","first-page":"749","article-title":"Long-term seizure outcome and mobility after surgical treatment for Rasmussen encephalitis in children: a single-center experience","volume":"25","author":"Nava BC","year":"2023","unstructured":"Nava BC, Costa UT, Hamad APA,  Long-term seizure outcome and mobility after surgical treatment for Rasmussen encephalitis in children: a single-center experience. Epileptic Disord. 2023;25(5):749\u2013757."},{"key":"b23","series-title":"Front Neurol","first-page":"1397","article-title":"Examining the utility of resective epilepsy surgery in children with electrical status epilepticus in sleep: long term clinical and electrophysiological outcomes","volume":"10","author":"Marashly A","year":"2020","unstructured":"Marashly A, Koop J, Loman M, Lee YW, Lew SM. Examining the utility of resective epilepsy surgery in children with electrical status epilepticus in sleep: long term clinical and electrophysiological outcomes. Front Neurol. 2020;10:1397."},{"issue":"1","key":"b24","series-title":"J Neurosurg Pediatr","first-page":"56","article-title":"Hemispherotomy in children with electrical status epilepticus of sleep","volume":"19","author":"Jeong A","year":"2017","unstructured":"Jeong A, Strahle J, Vellimana AK, Limbrick DD Jr, Smyth MD, Bertrand M. Hemispherotomy in children with electrical status epilepticus of sleep. J Neurosurg Pediatr. 2017;19(1):56\u201362."},{"issue":"2","key":"b25","series-title":"Neurosurgery","first-page":"328","article-title":"Epilepsy surgery in children with electrical status epilepticus in sleep","volume":"64","author":"Loddenkemper T","year":"2009","unstructured":"Loddenkemper T, Cosmo G, Kotagal P,  Epilepsy surgery in children with electrical status epilepticus in sleep. Neurosurgery. 2009;64(2):328\u2013337."},{"issue":"11","key":"b26","series-title":"Epilepsia","first-page":"1738","article-title":"Treatment of electrical status epilepticus in sleep: a pooled analysis of 575 cases","volume":"56","author":"van den Munckhof B","year":"2015","unstructured":"van den Munckhof B, van Dee V, Sagi L,  Treatment of electrical status epilepticus in sleep: a pooled analysis of 575 cases. Epilepsia. 2015;56(11):1738\u20131746."},{"key":"b27","series-title":"J Pediatr","first-page":"220","article-title":"Treatment practices and outcomes in continuous spike and wave during slow wave sleep: a multicenter collaboration","volume":"232","author":"Baumer FM","year":"2021","unstructured":"Baumer FM, McNamara NA, Fine AL,  Treatment practices and outcomes in continuous spike and wave during slow wave sleep: a multicenter collaboration. J Pediatr. 2021;232:220\u2013228.e3."},{"issue":"6","key":"b28","series-title":"Epilepsia","first-page":"1067","article-title":"Long-term outcome after cognitive and behavioral regression in nonlesional epilepsy with continuous spike-waves during slow-wave sleep","volume":"53","author":"Seegm\u00fcller C","year":"2012","unstructured":"Seegm\u00fcller C, Deonna T, Dubois CM,  Long-term outcome after cognitive and behavioral regression in nonlesional epilepsy with continuous spike-waves during slow-wave sleep. Epilepsia. 2012;53(6):1067\u20131076."},{"issue":"Suppl 7","key":"b29","series-title":"Epilepsia","first-page":"77","article-title":"Long-term evolution of neuropsychological competences in encephalopathy with status epilepticus during sleep: a variable prognosis","volume":"54","author":"Pera MC","year":"2013","unstructured":"Pera MC, Brazzo D, Altieri N, Balottin U, Veggiotti P. Long-term evolution of neuropsychological competences in encephalopathy with status epilepticus during sleep: a variable prognosis. Epilepsia. 2013;54(Suppl 7):77-85."},{"issue":"9","key":"b30","series-title":"Seizure","first-page":"752","article-title":"Hemispheric surgery for refractory epilepsy in children and adolescents: outcome regarding seizures, motor skills and adaptive function","volume":"22","author":"Hamad AP","year":"2013","unstructured":"Hamad AP, Caboclo LO, Centeno R,  Hemispheric surgery for refractory epilepsy in children and adolescents: outcome regarding seizures, motor skills and adaptive function. Seizure. 2013;22(9):752\u2013756."},{"issue":"5","key":"b31","series-title":"Childs Nerv Syst","first-page":"1043","article-title":"Transient water-electrolyte disturbance after hemispherotomy in young infants with epileptic encephalopathy","volume":"36","author":"Saito T","year":"2020","unstructured":"Saito T, Sugai K, Takahashi A,  Transient water-electrolyte disturbance after hemispherotomy in young infants with epileptic encephalopathy. Childs Nerv Syst. 2020;36(5):1043\u20131048."},{"issue":"2","key":"b32","series-title":"J Neurosurg Pediatr","first-page":"159","article-title":"Enhancing outcomes of endoscopic vertical approach hemispherotomy: understanding the role of \"temporal stem\" residual connections causing recurrence of seizures","volume":"25","author":"Girishan S","year":"2019","unstructured":"Girishan S, Tripathi M, Garg A,  Enhancing outcomes of endoscopic vertical approach hemispherotomy: understanding the role of \"temporal stem\" residual connections causing recurrence of seizures. J Neurosurg Pediatr. 2019;25(2):159\u2013167."},{"issue":"2","key":"b33","series-title":"Brain Dev","first-page":"124","article-title":"Modification of vertical hemispherotomy for refractory epilepsy","volume":"36","author":"Kawai K","year":"2014","unstructured":"Kawai K, Morino M, Iwasaki M. Modification of vertical hemispherotomy for refractory epilepsy. Brain Dev. 2014;36(2):124\u2013129."},{"issue":"2","key":"b34","series-title":"Neurosurgery","first-page":"388","article-title":"Reoperative hemispherectomy for intractable epilepsy: a report of 36 patients","volume":"71","author":"Vadera S","year":"2012","unstructured":"Vadera S, Moosa ANV, Jehi L,  Reoperative hemispherectomy for intractable epilepsy: a report of 36 patients. Neurosurgery. 2012;71(2):388\u2013393."},{"key":"b35","series-title":"World Neurosurg","first-page":"e685","article-title":"Failed hemispherotomy: insights from our early experience in 40 patients","volume":"146","author":"Kurwale NS","year":"2021","unstructured":"Kurwale NS, Patil SB, Jagtap SA,  Failed hemispherotomy: insights from our early experience in 40 patients. World Neurosurg. 2021;146:e685\u2013e690."},{"issue":"1","key":"b36","series-title":"Neurosurg Rev","first-page":"125","article-title":"What to do in failed hemispherotomy? Our clinical series and review of the literature","volume":"41","author":"Bartoli A","year":"2018","unstructured":"Bartoli A, El Hassani Y, Jenny B,  What to do in failed hemispherotomy? Our clinical series and review of the literature. Neurosurg Rev. 2018;41(1):125\u2013132."},{"issue":"50","key":"b37","series-title":"Epilepsy Res","first-page":"137","article-title":"Treatment for patients with recurrent intractable epilepsy after primary hemispherectomy","volume":"139","author":"Chen S","year":"2018","unstructured":"Chen S, Guan Y, Liu C,  Treatment for patients with recurrent intractable epilepsy after primary hemispherectomy. Epilepsy Res. 2018;139(50):137\u2013142."},{"issue":"2","key":"b38","series-title":"Epilepsia","first-page":"383","article-title":"Posthemispherectomy hydrocephalus: results of a comprehensive, multiinstitutional review","volume":"54","author":"Lew SM","year":"2013","unstructured":"Lew SM, Matthews AE, Hartman AL, Haranhalli N. Posthemispherectomy hydrocephalus: results of a comprehensive, multiinstitutional review. Epilepsia. 2013;54(2):383\u2013389."},{"issue":"1","key":"b39","series-title":"J Neurosurg Pediatr","first-page":"61","article-title":"Completion of disconnective surgery for refractory epilepsy in pediatric patients using robot-assisted MRI-guided laser interstitial thermal therapy","volume":"31","author":"Candela-Cant\u00f3 S","year":"2022","unstructured":"Candela-Cant\u00f3 S, Muchart J, Valera C,  Completion of disconnective surgery for refractory epilepsy in pediatric patients using robot-assisted MRI-guided laser interstitial thermal therapy. J Neurosurg Pediatr. 2022;31(1):61\u201370."},{"issue":"6","key":"b40","series-title":"J Neurosurg Pediatr","first-page":"688","article-title":"Robotic thermocoagulative hemispherotomy: concept, feasibility, outcomes, and safety of a new \"bloodless\" technique","volume":"27","author":"Chandra PS","year":"2021","unstructured":"Chandra PS, Doddamani R, Girishan S,  Robotic thermocoagulative hemispherotomy: concept, feasibility, outcomes, and safety of a new \"bloodless\" technique. J Neurosurg Pediatr. 2021;27(6):688\u2013699."},{"key":"b41","series-title":"Epilepsy Behav","first-page":"108298","article-title":"Pediatric hemispherectomy outcome: adaptive functioning, intelligence, and memory","volume":"124","author":"Shurtleff HA","year":"2021","unstructured":"Shurtleff HA, Roberts EA, Young CC,  Pediatric hemispherectomy outcome: adaptive functioning, intelligence, and memory. Epilepsy Behav. 2021;124:108298."}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2024.9.PEDS24281\/article-10.3171-2024.9.PEDS24281.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2024.9.PEDS24281\/article-10.3171-2024.9.PEDS24281.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2024.9.PEDS24281\/article-10.3171-2024.9.PEDS24281.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T02:30:53Z","timestamp":1735353053000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/aop\/article-10.3171-2024.9.PEDS24281\/article-10.3171-2024.9.PEDS24281.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":41,"URL":"https:\/\/doi.org\/10.3171\/2024.9.peds24281","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,1]]}}}