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From the Departments of Neurology (Drs. Binder, Swanson, Hammeke, Morris, Fischer, Benbadis, Rao, and Ms. Frost), Neurosurgery (Dr. Mueller), and Radiology (Dr. Haughton), Medical College of Wisconsin, Milwaukee, WI.
Supported by grants to J.R.B. from the Charles A. Dana Foundation Clinical Hypotheses Research Program and from the McDonnell-Pew Program in Cognitive Neuroscience.
Received March 27, 1995. Accepted in final form July 18, 1995.
Address correspondence and reprint requests to Dr Binder, Department of Neurology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226.
We performed functional MRI (FMRI) in 22 consecutive epilepsy patients undergoing intracarotid amobarbital (Wada) testing and compared language lateralization measures obtained with the two procedures.FMRI used a single-word semantic decision task previously shown to activate lateralized language areas in normal adults. Correlation between the two tests was highly significant (r equals 0.96; 95% CIs 0.90 to 0.98; p less than 0.0001). These results validate the FMRI technique and suggest that ``active'' areas observed with this semantic processing task correspond to those underlying hemispheric dominance for language. The strong correlation observed supports the view that language lateralization is a continuous rather than a dichotomous variable. In addition to lateralization information, FMRI consistently demonstrated focal regions of activity in lateral frontal and temporo-parieto-occipital cortex. These functional maps may be helpful in defining the boundaries of surgical excisions.
NEUROLOGY 1996;46: 978-984.
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