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Use of fMRI Language Lateralization for Quantitative Prediction of Naming and Verbal Memory Outcome in Left Temporal Lobe Epilepsy Surgery

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Abstract

Partial removal of the anterior temporal lobe (ATL) is a highly effective surgical treatment for intractable epilepsy, yet roughly half of patients who undergo left ATL resection show decline in language or verbal memory function postoperatively. Preoperative fMRI has been shown in several studies to predict postoperative naming and verbal memory outcome in such patients. Most importantly, fMRI significantly improves the accuracy of prediction relative to other noninvasive measures used alone. Addition of language and memory lateralization data from the intracarotid amobarbital (Wada) test did not improve prediction accuracy in these studies. Thus, fMRI provides patients and practitioners with a safe, noninvasive, and well-validated tool for making better-informed decisions regarding elective surgery based on a quantitative assessment of cognitive risk.

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Acknowledgments

My thanks to Linda Allen, Bill Gross, Thomas Hammeke, Yu Liu, Wade Mueller, Conrad Nievera, Thomas Prieto, Manoj Raghavan, Megan Rozman, David Sabsevitz, Sara Swanson, and other personnel at the Froedtert-MCW Comprehensive Epilepsy Center for assistance with this research, which was also supported by National Institute of Neurological Diseases and Stroke grant R01 NS35929, National Institutes of Health General Clinical Research Center grant M01 RR00058, and the Charles A. Dana Foundation.

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  1. Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA

    Jeffrey R. Binder

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Correspondence to Jeffrey R. Binder .

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    Stephan Ulmer

  2. Inst. Neuroradiologie, Universitätsklinikum Schleswig-Holstein, Arnold-Heller-Str. 2, Kiel, 24105, Germany

    Olav Jansen

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Binder, J.R. (2013). Use of fMRI Language Lateralization for Quantitative Prediction of Naming and Verbal Memory Outcome in Left Temporal Lobe Epilepsy Surgery. In: Ulmer, S., Jansen, O. (eds) fMRI. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34342-1_10

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