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pubmed-article:10390024pubmed:abstractTextPatients 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.lld:pubmed
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pubmed-article:10390024pubmed:articleTitleReorganized cerebral metabolic interactions in temporal lobe epilepsy.lld:pubmed
pubmed-article:10390024pubmed:affiliationDepartment of Neurology, Heinrich-Heine-University, Duesseldorf, Germany.lld:pubmed
pubmed-article:10390024pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:10390024pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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