Abstract:
:There is considerable variability among epilepsy centers in the methods and interpretations of the intracarotid amobarbital procedure. Prominent among these differences is the determination of language representation and assessment of language functions. Some centers rely on speech arrest following amobarbital injection as a marker for language representation, whereas other centers examine verbal output for the presence of aphasic errors. The present study assessed the pattern of language recovery following amobarbital injection in epilepsy patients who were candidates for temporal lobectomy. Language recovery from dominant hemisphere injection (left or right) followed a stereotypical progression, with 71.8% of patients showing return of vocalization followed by return of naming and comprehension. Repetition deficits with paraphasic errors persisted the longest (mean = 12'30"), with a conduction aphasia persisting after the acute global aphasia resolved. Although two patients interpreted as left hemisphere language dominant were mute following right hemisphere injection, all language functions were intact immediately upon resumption of vocalization and they showed no other signs of aphasia such as paraphasias or anomia. Possible explanations for serial language recovery and persistent conduction aphasia are discussed. These findings have significant implications for the determination of cerebral language dominance.
journal_name
Brain Cognjournal_title
Brain and cognitionauthors
Ravdin LD,Perrine K,Haywood CS,Gershengorn J,Nelson PK,Devinsky Odoi
10.1006/brcg.1997.0889subject
Has Abstractpub_date
1997-03-01 00:00:00pages
151-60issue
2eissn
0278-2626issn
1090-2147pii
S0278-2626(97)90889-7journal_volume
33pub_type
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journal_title:Brain and cognition
pub_type: 传,历史文章,杂志文章
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journal_title:Brain and cognition
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journal_title:Brain and cognition
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pub_type: 杂志文章
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