Left Temporal Lobectomy Using Functional MRI in a Math Genius: A Case Report

被引：4

作者：

Bajaj, Jitin ^{[1
]}

Chaudhary, Kapil ^{[5
]}

Chandra, P. Sarat ^{[1
]}

Ramanujam, Bhargavi ^{[2
]}

Girishan, Shabari ^{[1
]}

Doddamani, Ramesh ^{[1
]}

Tripathi, Madhavi ^{[3
]}

Nehra, Ashima ^{[4
]}

Tripathi, Manjari ^{[2
]}

机构：

[1] All India Inst Med Sci, Dept Neurosurg, New Delhi, India

[2] All India Inst Med Sci, Dept Neurol, New Delhi, India

[3] All India Inst Med Sci, Dept Nucl Med, New Delhi, India

[4] All India Inst Med Sci, Dept Neuropsychol, New Delhi, India

[5] IIT AIIMS, NMR, Dept Biomed Engn, New Delhi, India

来源：

NEUROLOGY INDIA | 2020年 / 68卷 / 01期

关键词：

Cognition; functional MRI; mesial temporal sclerosis; Wada testing; STIMULATION; EPILEPSY; SURGERY; FMRI;

D O I：

10.4103/0028-3886.279704

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Standard treatment of drug-refractory epilepsy, due to left mesial temporal sclerosis, is anterior temporal lobectomy with amygdalohippocampectomy (ATL). This carries a risk of cognitive deficits, including comprehension, verbal memory, and visual memory. Preoperative language lateralization and localization is important to preserve these functions. Often Wada testing is used for these, but it carries risk due to its invasive nature. In addition, it can lateralize but not localize and may not be readily available. We hereby present a mathematics genius who underwent left ATL under the guidance of functional MRI and neuropsychological assessment alone, resulting in the preservation of all of his cognitive abilities even in the immediate postoperative period. A video demonstration of his calendar likeability is also shown.

引用

页码：170 / 172

页数：3

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