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. 2012:2012:837036.
doi: 10.1155/2012/837036. Epub 2012 Feb 9.

Language mapping in temporal lobe epilepsy in children: special considerations

Sandrine de Ribaupierre  1 , An Wang, Susan Hayman-Abello
Affiliations

Language mapping in temporal lobe epilepsy in children: special considerations

Sandrine de Ribaupierre et al. Epilepsy Res Treat. 2012.

Abstract

Temporal lobe epilepsy (TLE) in children is a slightly different entity than TLE in adults not only because of its semiology and pathology but also because of the different approach to surgical treatment. Presurgical investigations for eloquent cortex, especially language, must take these differences into account. Most diagnostic tests were created for adults, and many of the assessment tools need to be adapted for children because they are not just small adults. This paper will highlight the specific challenges and solutions in mapping language in a pediatric population with TLE.

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Figures

Figure 1
Figure 1
Example of fMRI with the superposition of different language tasks. While most of the tasks produce a left dominant hemispheric language activation, naming has a bilateral activation in the Broca area. Red: Verb generation, Green: sentence completion, Blue: naming.
Figure 2
Figure 2
Another example of fMRI language activation map. This time the language map is solely left hemispheric in this sentence completion task.
See this image and copyright information in PMC

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