{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:08:27Z","timestamp":1780412907469,"version":"3.54.1"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,4]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Sturge-Weber syndrome (SWS) is a congenital neurocutaneous disorder characterized by angiomas of the face, choroid, and leptomeninges. Seizures in these children often present within the first 2 years of life. SWS is typically unilateral, but bilateral SWS occurs in approximately 15% of cases. Bilateral SWS is associated with earlier seizure onset and poorer cognitive, developmental, and functional outcomes. More than half of children with SWS develop drug-resistant epilepsy requiring surgical intervention. Hemispherotomy has been established as a successful treatment for unilateral SWS, but resective surgery has traditionally not been considered a treatment option for patients with bilateral disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>In this report, the authors present the cases of 4 children (7 months\u20132 years of age) with bilateral SWS and drug-resistant epilepsy with a unilateral electroencephalography predominance. After a multidisciplinary conference in each case, all children were successfully treated with unilateral hemispherotomy. These patients achieved prolonged periods of seizure freedom postoperatively, a better quality of life, and demonstrated improved developmental progress at long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This case series suggests that functional hemispherotomy may be a safe and effective therapeutic option for improving seizure burden in cases of bilateral drug-resistant SWS with asymmetric seizure burden.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25125\">https:\/\/thejns.org\/doi\/10.3171\/CASE25125<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25125","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T06:35:52Z","timestamp":1754289352000},"source":"Crossref","is-referenced-by-count":1,"title":["Hemispherotomy for drug-resistant epilepsy in bilateral Sturge-Weber syndrome: illustrative cases"],"prefix":"10.3171","volume":"10","author":[{"given":"Eveline Teresa","family":"Hidalgo","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Neurosurgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric A.","family":"Grin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Neurosurgery, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosef","family":"Dastagirzada","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"},{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9603-9169","authenticated-orcid":true,"given":"Nealen","family":"Laxpati","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, Children\u2019s Healthcare of Atlanta, Georgia"},{"name":"Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Bluvstein","sequence":"additional","affiliation":[{"name":"School of Medicine, Hofstra\/Northwell, New York, New York"},{"name":"Lennox Hill Hospital, Northwell Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia R.","family":"Schneider","sequence":"additional","affiliation":[{"name":"School of Medicine, Hofstra\/Northwell, New York, New York"},{"name":"Lennox Hill Hospital, Northwell Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Miles","sequence":"additional","affiliation":[{"name":"Comprehensive Epilepsy Center, NYU Langone Health, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Tzadok","sequence":"additional","affiliation":[{"name":"Pediatric Neurology Unit, Chaim Sheba Medical Center, Tel Hashomer, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Riviello","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"},{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard L.","family":"Weiner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Neurosurgery, Department of Surgery, Texas Children\u2019s Hospital, Houston, Texas"},{"name":"Department of Neurosurgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Lymphat Res Biol","first-page":"257","article-title":"Update on Sturge-Weber syndrome: diagnosis, treatment, quantitative measures, and controversies","volume":"5","author":"Comi","year":"2007","unstructured":"Comi AM.Update on Sturge-Weber syndrome: diagnosis, treatment, quantitative measures, and controversies. Lymphat Res Biol. 2007;5(4):257-264."},{"issue":"5","key":"bib2","series-title":"Pediatr Neurol","first-page":"303","article-title":"Sturge-Weber syndrome: a review","volume":"30","author":"Thomas-Sohl","year":"2004","unstructured":"Thomas-Sohl KAVaslow DFMaria BL.Sturge-Weber syndrome: a review. Pediatr Neurol. 2004;30(5):303-310."},{"issue":"3","key":"bib3","series-title":"J Child Neurol","first-page":"181","article-title":"Prognosis in Sturge-Weber disease: comparison of unihemispheric and bihemispheric involvement","volume":"3","author":"Bebin","year":"1988","unstructured":"Bebin EMGomez MR.Prognosis in Sturge-Weber disease: comparison of unihemispheric and bihemispheric involvement. J Child Neurol. 1988;3(3):181-184."},{"issue":"1","key":"bib4","series-title":"J Neurosurg","first-page":"20","article-title":"Surgical treatment of epilepsy in Sturge-Weber syndrome in children","volume":"106","author":"Bourgeois","year":"2007","unstructured":"Bourgeois MCrimmins DWde Oliveira RSSurgical treatment of epilepsy in Sturge-Weber syndrome in children. J Neurosurg. 2007;106(1)(suppl):20-28."},{"issue":"5","key":"bib5","series-title":"Curr Treat Options Neurol","first-page":"607","article-title":"Sturge-Weber syndrome","volume":"15","author":"Bachur","year":"2013","unstructured":"Bachur CDComi AM.Sturge-Weber syndrome. Curr Treat Options Neurol. 2013;15(5):607-617."},{"issue":"2-3","key":"bib6","series-title":"Epilepsy Res","first-page":"240","article-title":"A pilot study of the modified Atkins diet for Sturge-Weber syndrome","volume":"92","author":"Kossoff","year":"2010","unstructured":"Kossoff EHBorsage JLComi AM.A pilot study of the modified Atkins diet for Sturge-Weber syndrome. Epilepsy Res. 2010;92(2-3):240-243."},{"issue":"suppl 8","key":"bib7","series-title":"Epilepsia","first-page":"57","article-title":"Refractory seizures: try additional antiepileptic drugs (after two have failed) or go directly to early surgery evaluation?","volume":"50","author":"Kwan","year":"2009","unstructured":"Kwan PSperling MR.Refractory seizures: try additional antiepileptic drugs (after two have failed) or go directly to early surgery evaluation? Epilepsia. 2009;50(suppl 8):57-62."},{"issue":"3","key":"bib8","series-title":"Neurosurgery","first-page":"509","article-title":"Hemispherical deafferentation: an alternative to functional hemispherectomy","volume":"36","author":"Schramm","year":"1995","unstructured":"Schramm JBehrens EEntzian W.Hemispherical deafferentation: an alternative to functional hemispherectomy. Neurosurgery. 1995;36(3):509-515."},{"issue":"11","key":"bib9","series-title":"Acta Neurochir (Wien)","first-page":"2017","article-title":"Pediatric functional hemispherectomy: outcome in 92 patients","volume":"154","author":"Schramm","year":"2012","unstructured":"Schramm JKuczaty SSassen RElger CEvon Lehe M.Pediatric functional hemispherectomy: outcome in 92 patients. Acta Neurochir (Wien). 2012;154(11):2017-2028."},{"issue":"9","key":"bib10","series-title":"J Child Neurol","first-page":"689","article-title":"Epilepsy surgery in tuberous sclerosis: multistage procedures with bilateral or multilobar foci","volume":"17","author":"Romanelli","year":"2002","unstructured":"Romanelli PNajjar SWeiner HLDevinsky O.Epilepsy surgery in tuberous sclerosis: multistage procedures with bilateral or multilobar foci. J Child Neurol. 2002;17(9):689-692."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"732","article-title":"Bilateral resective epilepsy surgery in a child with tuberous sclerosis: case report","volume":"49","author":"Romanelli","year":"2001","unstructured":"Romanelli PWeiner HLNajjar SDevinsky O.Bilateral resective epilepsy surgery in a child with tuberous sclerosis: case report. Neurosurgery. 2001;49(3):732-735."},{"issue":"4","key":"bib12","series-title":"Epilepsia","first-page":"556","article-title":"Contralateral MRI abnormalities in candidates for hemispherectomy for refractory epilepsy","volume":"51","author":"Hallbook","year":"2010","unstructured":"Hallbook TRuggieri PAdina CContralateral MRI abnormalities in candidates for hemispherectomy for refractory epilepsy. Epilepsia. 2010;51(4):556-563."},{"issue":"7","key":"bib13","series-title":"Brain Dev","first-page":"601","article-title":"Successful hemispherotomy in two refractory epilepsy patients with cerebral hemiatrophy and contralateral EEG abnormalities","volume":"40","author":"Takayama","year":"2018","unstructured":"Takayama RImai KIkeda HSuccessful hemispherotomy in two refractory epilepsy patients with cerebral hemiatrophy and contralateral EEG abnormalities. Brain Dev. 2018;40(7):601-606."},{"issue":"8","key":"bib14","series-title":"Childs Nerv Syst","first-page":"909","article-title":"Sturge-Weber syndrome","volume":"22","author":"Di Rocco","year":"2006","unstructured":"Di Rocco CTamburrini G.Sturge-Weber syndrome. Childs Nerv Syst. 2006;22(8):909-921."},{"issue":"18","key":"bib15","series-title":"Neurology","first-page":"1623","article-title":"Contralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy","volume":"75","author":"Boshuisen","year":"2010","unstructured":"Boshuisen Kvan Schooneveld MMLeijten FSContralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy. Neurology. 2010;75(18):1623-1630."},{"issue":"3","key":"bib16","series-title":"Neurology","first-page":"253","article-title":"Longitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children","volume":"80","author":"Moosa","year":"2013","unstructured":"Moosa ANVGupta AJehi LLongitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children. Neurology. 2013;80(3):253-260."},{"issue":"10","key":"bib17","series-title":"Childs Nerv Syst","first-page":"2553","article-title":"Sturge-Weber syndrome: an update on the relevant issues for neurosurgeons","volume":"36","author":"Bianchi","year":"2020","unstructured":"Bianchi FAuricchio AMBattaglia DIChieffo DRPMassimi L.Sturge-Weber syndrome: an update on the relevant issues for neurosurgeons. Childs Nerv Syst. 2020;36(10):2553-2570."},{"issue":"1","key":"bib18","series-title":"J Neurosurg Pediatr","first-page":"63","article-title":"Impact of intraoperative 3-T MRI with diffusion tensor imaging on hemispherectomy","volume":"19","author":"Kim","year":"2017","unstructured":"Kim GHSeo JHSchroff SChen PCLee KHBaumgartner J.Impact of intraoperative 3-T MRI with diffusion tensor imaging on hemispherectomy. J Neurosurg Pediatr. 2017;19(1):63-69."},{"issue":"5","key":"bib19","series-title":"Pediatr Neurol","first-page":"394","article-title":"Epilepsy surgery in bilateral Sturge-Weber syndrome","volume":"26","author":"Tuxhorn","year":"2002","unstructured":"Tuxhorn IEBPannek HW.Epilepsy surgery in bilateral Sturge-Weber syndrome. Pediatr Neurol. 2002;26(5):394-397."},{"issue":"4","key":"bib20","series-title":"J Neurosurg Pediatr","first-page":"381","article-title":"Palliative hemispherotomy in children with bilateral seizure onset","volume":"9","author":"Ciliberto","year":"2012","unstructured":"Ciliberto MALimbrick DPowers ATitus JBMunro RSmyth MD.Palliative hemispherotomy in children with bilateral seizure onset. J Neurosurg Pediatr. 2012;9(4):381-388."},{"issue":"1","key":"bib21","series-title":"Neurology","first-page":"e209525","article-title":"Seizure, motor, and cognitive outcomes after epilepsy surgery for patients with Sturge-Weber syndrome: results from a multicenter study","volume":"103","author":"Wang","year":"2024","unstructured":"Wang SLiu QZZhao RSeizure, motor, and cognitive outcomes after epilepsy surgery for patients with Sturge-Weber syndrome: results from a multicenter study. Neurology. 2024;103(1):e209525."},{"issue":"4","key":"bib1","series-title":"Lymphat Res Biol","first-page":"257","article-title":"Update on Sturge-Weber syndrome: diagnosis, treatment, quantitative measures, and controversies","volume":"5","author":"Comi","year":"2007","unstructured":"Comi AM.Update on Sturge-Weber syndrome: diagnosis, treatment, quantitative measures, and controversies. Lymphat Res Biol. 2007;5(4):257-264."},{"issue":"5","key":"bib2","series-title":"Pediatr Neurol","first-page":"303","article-title":"Sturge-Weber syndrome: a review","volume":"30","author":"Thomas-Sohl","year":"2004","unstructured":"Thomas-Sohl KAVaslow DFMaria BL.Sturge-Weber syndrome: a review. Pediatr Neurol. 2004;30(5):303-310."},{"issue":"3","key":"bib3","series-title":"J Child Neurol","first-page":"181","article-title":"Prognosis in Sturge-Weber disease: comparison of unihemispheric and bihemispheric involvement","volume":"3","author":"Bebin","year":"1988","unstructured":"Bebin EMGomez MR.Prognosis in Sturge-Weber disease: comparison of unihemispheric and bihemispheric involvement. J Child Neurol. 1988;3(3):181-184."},{"issue":"1","key":"bib4","series-title":"J Neurosurg","first-page":"20","article-title":"Surgical treatment of epilepsy in Sturge-Weber syndrome in children","volume":"106","author":"Bourgeois","year":"2007","unstructured":"Bourgeois MCrimmins DWde Oliveira RSSurgical treatment of epilepsy in Sturge-Weber syndrome in children. J Neurosurg. 2007;106(1)(suppl):20-28."},{"issue":"5","key":"bib5","series-title":"Curr Treat Options Neurol","first-page":"607","article-title":"Sturge-Weber syndrome","volume":"15","author":"Bachur","year":"2013","unstructured":"Bachur CDComi AM.Sturge-Weber syndrome. Curr Treat Options Neurol. 2013;15(5):607-617."},{"issue":"2-3","key":"bib6","series-title":"Epilepsy Res","first-page":"240","article-title":"A pilot study of the modified Atkins diet for Sturge-Weber syndrome","volume":"92","author":"Kossoff","year":"2010","unstructured":"Kossoff EHBorsage JLComi AM.A pilot study of the modified Atkins diet for Sturge-Weber syndrome. Epilepsy Res. 2010;92(2-3):240-243."},{"issue":"suppl 8","key":"bib7","series-title":"Epilepsia","first-page":"57","article-title":"Refractory seizures: try additional antiepileptic drugs (after two have failed) or go directly to early surgery evaluation?","volume":"50","author":"Kwan","year":"2009","unstructured":"Kwan PSperling MR.Refractory seizures: try additional antiepileptic drugs (after two have failed) or go directly to early surgery evaluation? Epilepsia. 2009;50(suppl 8):57-62."},{"issue":"3","key":"bib8","series-title":"Neurosurgery","first-page":"509","article-title":"Hemispherical deafferentation: an alternative to functional hemispherectomy","volume":"36","author":"Schramm","year":"1995","unstructured":"Schramm JBehrens EEntzian W.Hemispherical deafferentation: an alternative to functional hemispherectomy. Neurosurgery. 1995;36(3):509-515."},{"issue":"11","key":"bib9","series-title":"Acta Neurochir (Wien)","first-page":"2017","article-title":"Pediatric functional hemispherectomy: outcome in 92 patients","volume":"154","author":"Schramm","year":"2012","unstructured":"Schramm JKuczaty SSassen RElger CEvon Lehe M.Pediatric functional hemispherectomy: outcome in 92 patients. Acta Neurochir (Wien). 2012;154(11):2017-2028."},{"issue":"9","key":"bib10","series-title":"J Child Neurol","first-page":"689","article-title":"Epilepsy surgery in tuberous sclerosis: multistage procedures with bilateral or multilobar foci","volume":"17","author":"Romanelli","year":"2002","unstructured":"Romanelli PNajjar SWeiner HLDevinsky O.Epilepsy surgery in tuberous sclerosis: multistage procedures with bilateral or multilobar foci. J Child Neurol. 2002;17(9):689-692."},{"issue":"3","key":"bib11","series-title":"Neurosurgery","first-page":"732","article-title":"Bilateral resective epilepsy surgery in a child with tuberous sclerosis: case report","volume":"49","author":"Romanelli","year":"2001","unstructured":"Romanelli PWeiner HLNajjar SDevinsky O.Bilateral resective epilepsy surgery in a child with tuberous sclerosis: case report. Neurosurgery. 2001;49(3):732-735."},{"issue":"4","key":"bib12","series-title":"Epilepsia","first-page":"556","article-title":"Contralateral MRI abnormalities in candidates for hemispherectomy for refractory epilepsy","volume":"51","author":"Hallbook","year":"2010","unstructured":"Hallbook TRuggieri PAdina CContralateral MRI abnormalities in candidates for hemispherectomy for refractory epilepsy. Epilepsia. 2010;51(4):556-563."},{"issue":"7","key":"bib13","series-title":"Brain Dev","first-page":"601","article-title":"Successful hemispherotomy in two refractory epilepsy patients with cerebral hemiatrophy and contralateral EEG abnormalities","volume":"40","author":"Takayama","year":"2018","unstructured":"Takayama RImai KIkeda HSuccessful hemispherotomy in two refractory epilepsy patients with cerebral hemiatrophy and contralateral EEG abnormalities. Brain Dev. 2018;40(7):601-606."},{"issue":"8","key":"bib14","series-title":"Childs Nerv Syst","first-page":"909","article-title":"Sturge-Weber syndrome","volume":"22","author":"Di Rocco","year":"2006","unstructured":"Di Rocco CTamburrini G.Sturge-Weber syndrome. Childs Nerv Syst. 2006;22(8):909-921."},{"issue":"18","key":"bib15","series-title":"Neurology","first-page":"1623","article-title":"Contralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy","volume":"75","author":"Boshuisen","year":"2010","unstructured":"Boshuisen Kvan Schooneveld MMLeijten FSContralateral MRI abnormalities affect seizure and cognitive outcome after hemispherectomy. Neurology. 2010;75(18):1623-1630."},{"issue":"3","key":"bib16","series-title":"Neurology","first-page":"253","article-title":"Longitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children","volume":"80","author":"Moosa","year":"2013","unstructured":"Moosa ANVGupta AJehi LLongitudinal seizure outcome and prognostic predictors after hemispherectomy in 170 children. Neurology. 2013;80(3):253-260."},{"issue":"10","key":"bib17","series-title":"Childs Nerv Syst","first-page":"2553","article-title":"Sturge-Weber syndrome: an update on the relevant issues for neurosurgeons","volume":"36","author":"Bianchi","year":"2020","unstructured":"Bianchi FAuricchio AMBattaglia DIChieffo DRPMassimi L.Sturge-Weber syndrome: an update on the relevant issues for neurosurgeons. Childs Nerv Syst. 2020;36(10):2553-2570."},{"issue":"1","key":"bib18","series-title":"J Neurosurg Pediatr","first-page":"63","article-title":"Impact of intraoperative 3-T MRI with diffusion tensor imaging on hemispherectomy","volume":"19","author":"Kim","year":"2017","unstructured":"Kim GHSeo JHSchroff SChen PCLee KHBaumgartner J.Impact of intraoperative 3-T MRI with diffusion tensor imaging on hemispherectomy. J Neurosurg Pediatr. 2017;19(1):63-69."},{"issue":"5","key":"bib19","series-title":"Pediatr Neurol","first-page":"394","article-title":"Epilepsy surgery in bilateral Sturge-Weber syndrome","volume":"26","author":"Tuxhorn","year":"2002","unstructured":"Tuxhorn IEBPannek HW.Epilepsy surgery in bilateral Sturge-Weber syndrome. Pediatr Neurol. 2002;26(5):394-397."},{"issue":"4","key":"bib20","series-title":"J Neurosurg Pediatr","first-page":"381","article-title":"Palliative hemispherotomy in children with bilateral seizure onset","volume":"9","author":"Ciliberto","year":"2012","unstructured":"Ciliberto MALimbrick DPowers ATitus JBMunro RSmyth MD.Palliative hemispherotomy in children with bilateral seizure onset. J Neurosurg Pediatr. 2012;9(4):381-388."},{"issue":"1","key":"bib21","series-title":"Neurology","first-page":"e209525","article-title":"Seizure, motor, and cognitive outcomes after epilepsy surgery for patients with Sturge-Weber syndrome: results from a multicenter study","volume":"103","author":"Wang","year":"2024","unstructured":"Wang SLiu QZZhao RSeizure, motor, and cognitive outcomes after epilepsy surgery for patients with Sturge-Weber syndrome: results from a multicenter study. Neurology. 2024;103(1):e209525."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/5\/article-CASE25125.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/5\/article-CASE25125.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/5\/article-CASE25125.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:09:44Z","timestamp":1769684984000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/5\/article-CASE25125.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,4]]},"references-count":42,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/case25125","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,4]]}}}