Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2007-4-30
pubmed:abstractText
Functional magnetic resonance imaging (fMRI) in patients with temporal lobe epilepsy (TLE) has demonstrated reorganisation of language functions with greater involvement of the non-dominant hemisphere. The structural brain connections supporting this atypical language dominance have not previously been identified. We performed fMRI of language functions and imaging of white matter connections using MR tractography in 14 patients with unilateral TLE and hippocampal sclerosis and 10 controls. Verb generation and reading comprehension paradigms were used to define functional regions which were used to generate starting regions for tractography. Controls and right TLE patients had a left-lateralised pattern of both language-related activations and the associated structural connections. Left TLE patients showed more symmetrical language activations, along with reduced left hemisphere and increased right hemisphere structural connections. Subjects with more lateralised functional activation had also more highly lateralised connecting pathways. We provide evidence for structural reorganisation of white matter tracts that reflects the altered functional language lateralisation in left TLE patients. The combination of fMRI and tractography offers a promising tool for studying the reorganisation of language functions in many neurological conditions and may prove useful in predicting language deficits following temporal lobe surgery.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1053-8119
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
36
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
209-21
pubmed:dateRevised
2011-11-4
pubmed:meshHeading
pubmed-meshheading:17400477-Adult, pubmed-meshheading:17400477-Comprehension, pubmed-meshheading:17400477-Diffusion Magnetic Resonance Imaging, pubmed-meshheading:17400477-Dominance, Cerebral, pubmed-meshheading:17400477-Epilepsy, Temporal Lobe, pubmed-meshheading:17400477-Female, pubmed-meshheading:17400477-Frontal Lobe, pubmed-meshheading:17400477-Hippocampus, pubmed-meshheading:17400477-Humans, pubmed-meshheading:17400477-Image Processing, Computer-Assisted, pubmed-meshheading:17400477-Imaging, Three-Dimensional, pubmed-meshheading:17400477-Language Development Disorders, pubmed-meshheading:17400477-Magnetic Resonance Imaging, pubmed-meshheading:17400477-Male, pubmed-meshheading:17400477-Middle Aged, pubmed-meshheading:17400477-Nerve Net, pubmed-meshheading:17400477-Neuronal Plasticity, pubmed-meshheading:17400477-Prognosis, pubmed-meshheading:17400477-Reading, pubmed-meshheading:17400477-Verbal Behavior
pubmed:year
2007
pubmed:articleTitle
Abnormalities of language networks in temporal lobe epilepsy.
pubmed:affiliation
Department of Clinical and Experimental Epilepsy, Institute of Neurology, University College London, Queen Square, London, WC1N 3BG, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't