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Functional MRI in the Presurgical Epilepsy Evaluation

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Handbook on the Neuropsychology of Epilepsy

Abstract

In the past two decades, functional neuroimaging techniques have revolutionized our understanding of normal brain functioning (Binder, Desai, et al., 2009; D'Esposito, 2000) and contributed to the evaluation and treatment of patients with neurological disorders (Bookheimer, 2007; Detre, 2006; Freilich & Gaillard, 2010). Understanding how and when to use functional localization methods such as fMRI in combination with or as an alternative to more traditional mapping methods such as the intracarotid amobarbital (Wada) test is critical for the clinical treatment of epilepsy surgery candidates. fMRI detects task-correlated or event-related changes in blood flow associated with underlying neuronal activity and is now considered a noninvasive alternative to Wada testing for language (Binder, 2011). Functional MRI provides information not only about lateralization of higher cognitive functions but also localization and outcome prediction allowing epileptologists, neurosurgeons, and patients to make informed decisions prior to undertaking resective surgery.

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Correspondence to Sara J. Swanson Ph.D., A.B.P.P. .

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Swanson, S.J., Binder, J.R., Raghavan, M., Euler, M. (2015). Functional MRI in the Presurgical Epilepsy Evaluation. In: Barr, W., Morrison, C. (eds) Handbook on the Neuropsychology of Epilepsy. Clinical Handbooks in Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92826-5_8

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