can be some effect about this tretmen such as: • Weakness, language and other cognitive dysfunction, and hemianopsia, depending on degree to which such functions already have been or can be subserved by the contralateral hemisphere. • The ultimate outcome of either procedure depends on a number of factors. • After a patient has undergone anatomical hemispherectomy or hemispheric disconnection, the longterm outcome : • Typically includes spastic hemiplegia with return of ambulation (patients can walk but have a spastic-type limp), • Development of a “helper” arm without fine motor manipulative abilities (patients can use the arm to help lift objects but cannot perform fine motor functions with the hand). • permanent hemianopsia, and various degrees of language and cognitive function (depending on preoperative status and age at surgery).