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Updated: Oct 3, 2026

Network Analysis of the Default Mode Network Using Functional Connectivity MRI in Temporal Lobe Epilepsy
Published on: August 5, 2014
Determination of the dominant language hemisphere by functional MRI in patients with temporal lobe epilepsy
1Department of Neurosurgery, Huashan Hospital Shanghai Medical University, Shanghai 200040, China.
Objective:
To determine the dominant language hemisphere in patients with intractable temporal lobe epilepsy before surgical treatment by using functional MRI (fMRI).
Methods:
Twelve patients underwent fMRI. Among them, 4 patients also underwent the Wada test. Anterior temporal lobectomy was performed on patients with epileptic focus on the non-dominant hemisphere, and selective amygdalo-hippocampectomy on patients with epileptic focus on the dominant hemisphere.
Results:
Ten patients had left dominance, and 2 right dominance. The fMRI results were concordant with Wada test results in the 4 patients who accepted the Wada test. Seven patients underwent anterior temporal lobectomy, and 5 underwent selective amygdalo-hippocampectomy. There was no post-operative dysphasia.
Conclusion:
fMRI is an alternative method of noninvasive functional mapping for language dominance in patients with temporal lobe epilepsy.
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