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Abstract #3566

Language Reorganization Following Anterior Temporal Lobectomy in Patients with Chronic Intractable Epilepsy

S. Senthil Kumaran1, Kapil Chaudhary2, Manjari Tripathi2, Sarat P. Chandra3

1Department of NMR, All India Institute of Medical Sciences, New Delhi, Delhi, India; 2Department of Neurology, All India Institute of Medical Sciences, New Delhi, Delhi, India; 3Department of Neuro-Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India

Functional MRI was used to study the impact of anterior temporal lobectomy (ATL) on language functions in patients with left temporal lobe epilepsy (LTLE). FMRI Paradigm included multiple components of language for observing bold activation in cortical language networks. The results suggest that language areas specially involved in complex syntactic-semantic tasks to be preserved during ATLR for maximum conservation of functionality, and post-durgincal plasticity in language functions were observed.

Keywords

absence activation active affected alternating anterior antonym approval audio binocular black bold brain button central channel choose chronic coil compatible complexity components consecutive correlation cortex cortical criteria decision deficits demographic design details diagnosis diagnostic earlier epilepsy especially ethics events exclusion frontal functional functioning functions fusiform gender give goggles head hemisphere included increasing indicating inferior institute intact intractable invoked involved jumble jumbled language lobe lobule making medical mentioned microphone middle might month months naming network neurology noun orally output paradigm parietal patient patients planar post prior push read recorded recruited recruitment reorganization resection resolution respect response scanner sciences screen semantic sentences shot simple slice slices standardized still stimuli stimulus studies suggest suggesting suggests superior surgery synonym syntactic system table task temporal underwent verbal visual whether white words years