title: Bilateral and independent Broca areas confirmed by Wada test and functional magnetic resonance imaging.
abstract: Accurate preoperative evaluation of language dominance is critical when evaluating potential patients for temporal lobe epilepsy surgery. Although most people have left-sided language dominance, a minority of patients have been described with either bilateral or right hemispheric dominance. We present a patient with right temporal lobe epilepsy who presented with bilateral and functionally independent Broca areas, as confirmed by Wada testing and functional magnetic resonance imaging.
authors.affiliation: Department of Radiology, George Washington University Hospital, Washington, DC, USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Biega
authors.forename: Lucien M
authors.initials: LM
authors.lastname: Levy
authors.forename: Firas
authors.initials: F
authors.lastname: Bannout
authors.forename: William D
authors.initials: WD
authors.lastname: Gaillard
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Potolicchio
mesh_terms: D000654:Amobarbital; D038481:Anterior Temporal Lobectomy; D001931:Brain Mapping / Q000379:methods; D004292:Dominance, Cerebral / Q000502:physiology*; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D005625:Frontal Lobe / Q000502:physiology*; D006801:Humans; D006993:Hypnotics and Sedatives; D007091:Image Processing, Computer-Assisted / Q000379:methods; D007802:Language; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008568:Memory / Q000187:drug effects; D008875:Middle Aged; D011300:Preoperative Care / Q000379:methods*; D015203:Reproducibility of Results; D013702:Temporal Lobe / Q000473:pathology / Q000601:surgery
chemical_list: D006993:Hypnotics and Sedatives; D000654:Amobarbital