A voxel‐based asymmetry study of the relationship between hemispheric asymmetry and language dominance in Wada tested patients

Autor: Vanessa Sluming, Anthony G Marson, U. C. Wieshmann, Andrew R. Mayes, Gus A. Baker, Paul Eldridge, Simon S. Keller, Neil Roberts, Enis Cezayirli
Přispěvatelé: University of St Andrews. School of Medicine, University of St Andrews. Education Division
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
Insula
Functional Laterality
Superior temporal gyrus
0302 clinical medicine
cerebral asymmetry
Brain asymmetry
Language lateralization
Research Articles
Language
Cerebral Cortex
Radiological and Ultrasound Technology
medicine.diagnostic_test
language lateralization
05 social sciences
Electroencephalography
Anatomy
Middle Aged
Magnetic Resonance Imaging
Neurology
Cerebral asymmetry
Wada test
Female
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Research Article
Adult
BF Psychology
NDAS
BF
Neuroimaging
insula
050105 experimental psychology
Temporal lobe
03 medical and health sciences
Inferior temporal gyrus
Broca's area
medicine
Journal Article
Humans
0501 psychology and cognitive sciences
Radiology
Nuclear Medicine and imaging

Epilepsy
business.industry
nervous system
RC0321
Orbitofrontal cortex
Neurology (clinical)
business
030217 neurology & neurosurgery
Zdroj: Human Brain Mapping
Keller, S S, Roberts, N, Baker, G, Sluming, V, Cezayirli, E, Mayes, A, Eldridge, P, Marson, A G & Wieshmann, U C 2018, ' A voxel-based asymmetry study of the relationship between hemispheric asymmetry and language dominance in Wada tested patients ', Human Brain Mapping . https://doi.org/10.1002/hbm.24058
ISSN: 1097-0193
1065-9471
DOI: 10.1002/hbm.24058
Popis: SSK was supported by a UK Medical Research Council grant (grant number MR/K023152/1). Determining the anatomical basis of hemispheric language dominance (HLD) remains an important scientific endeavor. The Wada test remains the gold standard test for HLD and provides a unique opportunity to determine the relationship between HLD and hemispheric structural asymmetries on MRI. In this study, we applied a whole‐brain voxel‐based asymmetry (VBA) approach to determine the relationship between interhemispheric structural asymmetries and HLD in a large consecutive sample of Wada tested patients. Of 135 patients, 114 (84.4%) had left HLD, 10 (7.4%) right HLD, and 11 (8.2%) bilateral language representation. Fifty‐four controls were also studied. Right‐handed controls and right‐handed patients with left HLD had comparable structural brain asymmetries in cortical, subcortical, and cerebellar regions that have previously been documented in healthy people. However, these patients and controls differed in structural asymmetry of the mesial temporal lobe and a circumscribed region in the superior temporal gyrus, suggesting that only asymmetries of these regions were due to brain alterations caused by epilepsy. Additional comparisons between patients with left and right HLD, matched for type and location of epilepsy, revealed that structural asymmetries of insula, pars triangularis, inferior temporal gyrus, orbitofrontal cortex, ventral temporo‐occipital cortex, mesial somatosensory cortex, and mesial cerebellum were significantly associated with the side of HLD. Patients with right HLD and bilateral language representation were significantly less right‐handed. These results suggest that structural asymmetries of an insular‐fronto‐temporal network may be related to HLD. Publisher PDF
Databáze: OpenAIRE