title: Differential effect of side of temporal lobe epilepsy on lateralization of hippocampal, temporolateral, and inferior frontal activation patterns during a verbal episodic memory task.
abstract: The encoding of verbal stimuli elicits left-lateralized activation patterns within the medial temporal lobes in healthy adults. In our study, patients with left- and right-sided temporal lobe epilepsy (LTLE, RTLE) were investigated during the encoding and retrieval of word-pair associates using functional magnetic resonance imaging. Functional asymmetry of activation patterns in hippocampal, inferior frontal, and temporolateral neocortical areas associated with language functions was analyzed. Hippocampal activation patterns in patients with LTLE were more right-lateralized than those in patients with RTLE (P<0.05). There were no group differences with respect to lateralization in frontal or temporolateral regions of interest (ROIs). For both groups, frontal cortical activation patterns were significantly more left-lateralized than hippocampal patterns (P<0.05). For patients with LTLE, there was a strong trend toward a difference in functional asymmetry between the temporolateral and hippocampal ROIs (P=0.059). A graded effect of epileptic activity on laterality of the different regional activation patterns is discussed.
authors.affiliation: Epilepsy Center, University Hospital of Freiburg, Freiburg, Germany. Kathrin.Wagner@uniklinik-freiburg.de <Kathrin.Wagner@uniklinik-freiburg.de>
authors.forename: Kathrin
authors.initials: K
authors.lastname: Wagner
authors.forename: Lars
authors.initials: L
authors.lastname: Frings
authors.forename: Joachim
authors.initials: J
authors.lastname: Spreer
authors.forename: Anne
authors.initials: A
authors.lastname: Buller
authors.forename: Regula
authors.initials: R
authors.lastname: Everts
authors.forename: Ulrike
authors.initials: U
authors.lastname: Halsband
authors.forename: Andreas
authors.initials: A
authors.lastname: Schulze-Bonhage
mesh_terms: D000293:Adolescent; D000328:Adult; D002540:Cerebral Cortex / Q000098:blood supply / Q000503:physiopathology*; D002648:Child; D004833:Epilepsy, Temporal Lobe / Q000473:pathology* / Q000503:physiopathology; D005260:Female; D005625:Frontal Lobe / Q000098:blood supply / Q000503:physiopathology; D007839:Functional Laterality / Q000502:physiology*; D006624:Hippocampus / Q000098:blood supply / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008568:Memory / Q000502:physiology*; D008875:Middle Aged; D009483:Neuropsychological Tests; D009716:Numerical Analysis, Computer-Assisted; D010100:Oxygen / Q000097:blood; D013702:Temporal Lobe / Q000098:blood supply / Q000503:physiopathology; D014706:Verbal Learning / Q000502:physiology*
chemical_list: D010100:Oxygen