| Autor: |
Alisa Pasichnik, Melissa Tsuboyama, Ali Jannati, Clemente Vega, Harper L. Kaye, Ugur Damar, Jeffrey Bolton, Scellig S. D. Stone, Joseph R. Madsen, Ralph O. Suarez, Alexander Rotenberg |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Annals of Clinical and Translational Neurology. 9:1459-1464 |
| ISSN: |
2328-9503 |
| Popis: |
Neuronavigated transcranial magnetic stimulation (nTMS) has emerged as a presurgical language mapping tool distinct from the widely used functional magnetic resonance imaging (fMRI). We report fMRI and nTMS language-mapping results in 19 pediatric-epilepsy patients and compare those to definitive testing by electrical cortical stimulation, Wada test, and/or neuropsychological testing. Most discordant results occurred when fMRI found right-hemispheric language. In those cases, when nTMS showed left-hemispheric or bilateral language representation, left-hemispheric language was confirmed by definitive testing. Therefore, we propose nTMS should be considered for pediatric presurgical language-mapping when fMRI shows right-hemispheric language, with nTMS results superseding fMRI results in those scenarios. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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