Wada testing and fMRI in a polyglot evaluated for epilepsy surgery

Parker Bohm, Jake McKay, John Lucas, David Sabsevitz, Anteneh M. Feyissa, Tony Ritaccio, Sanjeet S. Grewal, Robert E Wharen, Jr, Vivek Gupta, William O. Tatum

Research output: Contribution to journalArticle

Abstract

Despite advancements in the neurophysiology of language and presurgical evaluation for epilepsy surgery, there is a paucity of information in the literature regarding presurgical evaluation of multilingual patients. We present a case of a 52-year-old right-handed woman with refractory epilepsy who was fluent in six languages and underwent subsequent trilingual presurgical evaluation which included neuropsychological testing, Wada testing, functional magnetic resonance imaging (fMRI), and electrocortical stimulation. These studies suggested a seizure focus in the left temporal lobe and language localization that was predominantly right-hemispheric; she subsequently underwent left temporal laser interstitial thermal therapy without clinical disturbance in language function while remaining seizure-free. A multidisciplinary effort was integral in providing an optimal outcome for this patient.

Original languageEnglish (US)
Pages (from-to)207-213
Number of pages7
JournalEpileptic Disorders
Volume22
Issue number2
DOIs
StatePublished - Apr 1 2020

Keywords

  • Wada
  • brain
  • drug-resistant
  • epilepsy
  • fMRI
  • function
  • language
  • polyglot
  • seizures

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Bohm, P., McKay, J., Lucas, J., Sabsevitz, D., Feyissa, A. M., Ritaccio, T., Grewal, S. S., Wharen, Jr, R. E., Gupta, V., & Tatum, W. O. (2020). Wada testing and fMRI in a polyglot evaluated for epilepsy surgery. Epileptic Disorders, 22(2), 207-213. https://doi.org/10.1684/epd.2020.1145