Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1999-9-23
pubmed:abstractText
Patients with left temporal lobe epilepsy demonstrate language impairments that are not well understood. To explore abnormal patterns of brain functional connections with respect to language processing, we applied a principal component analysis to resting regional cerebral metabolic data obtained with positron emission tomography in patients with right- and left-sided temporal lobe epilepsy and controls. Two principal components were expressed differentially among the groups. One principal component comprised a pattern of metabolic interactions involving left inferior frontal and left superior temporal regions-corresponding to Broca's and Wernicke's areas, respectively-and right mesial temporal cortex and right thalamus. Functional couplings between these brain regions were abnormally enhanced in the left-sided epilepsy patients. The right thalamic left superior temporal coupling was also abnormally enhanced in the right-sided epilepsy patients, but differentially from that in the left-sided patients. The other principal component was characterized by a pattern of metabolic interactions involving right and left mid prefrontal and right superior temporal cortex. Although both the right- and left-sided epilepsy patients showed decreased functional couplings between left mid prefrontal and the other brain regions, a weaker right-left mid prefrontal coupling in the left-sided epilepsy patients best distinguished them from the right-sided patients. The two mutually independent, abnormal metabolic patterns each predicted verbal intelligence deficits in the patients. The findings suggest a site-dependent reorganization of two independent, language-subserving pathways in temporal lobe epilepsy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0028-3932
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
625-36
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed-meshheading:10390024-Adolescent, pubmed-meshheading:10390024-Adult, pubmed-meshheading:10390024-Brain, pubmed-meshheading:10390024-Case-Control Studies, pubmed-meshheading:10390024-Dominance, Cerebral, pubmed-meshheading:10390024-Epilepsy, Temporal Lobe, pubmed-meshheading:10390024-Factor Analysis, Statistical, pubmed-meshheading:10390024-Female, pubmed-meshheading:10390024-Frontal Lobe, pubmed-meshheading:10390024-Glucose, pubmed-meshheading:10390024-Humans, pubmed-meshheading:10390024-Language Disorders, pubmed-meshheading:10390024-Linear Models, pubmed-meshheading:10390024-Male, pubmed-meshheading:10390024-Middle Aged, pubmed-meshheading:10390024-Multivariate Analysis, pubmed-meshheading:10390024-Neural Pathways, pubmed-meshheading:10390024-Temporal Lobe, pubmed-meshheading:10390024-Thalamus, pubmed-meshheading:10390024-Tomography, Emission-Computed, pubmed-meshheading:10390024-Verbal Behavior
pubmed:year
1999
pubmed:articleTitle
Reorganized cerebral metabolic interactions in temporal lobe epilepsy.
pubmed:affiliation
Department of Neurology, Heinrich-Heine-University, Duesseldorf, Germany.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't