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Research ArticleFunctional

Lesion-Specific Language Network Alterations in Temporal Lobe Epilepsy

O. Foesleitner, K.-H. Nenning, L. Bartha-Doering, C. Baumgartner, E. Pataraia, D. Moser, M. Schwarz, V. Schmidbauer, J.A. Hainfellner, T. Czech, C. Dorfer, G. Langs, D. Prayer, S. Bonelli and G. Kasprian
American Journal of Neuroradiology January 2020, 41 (1) 147-154; DOI: https://doi.org/10.3174/ajnr.A6350
O. Foesleitner
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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K.-H. Nenning
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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L. Bartha-Doering
cPediatrics and Adolescent Medicine (L.B.-D.)
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C. Baumgartner
fGeneral Hospital Hietzing with Neurological Center Rosenhuegel (C.B.), Vienna, Austria.
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E. Pataraia
bNeurology (E.P., D.M., S.B.)
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D. Moser
bNeurology (E.P., D.M., S.B.)
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M. Schwarz
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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V. Schmidbauer
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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J.A. Hainfellner
dInstitute of Neurology (J.A.H.)
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T. Czech
eNeurosurgery (T.C., C.D.), Medical University of Vienna, Vienna, Austria
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C. Dorfer
eNeurosurgery (T.C., C.D.), Medical University of Vienna, Vienna, Austria
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G. Langs
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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D. Prayer
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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S. Bonelli
bNeurology (E.P., D.M., S.B.)
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G. Kasprian
aFrom the Departments of Biomedical Imaging and Image-Guided Therapy (O.F., K.-H.N., M.S., V.S., G.L., D.P., G.K.)
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    Fig 1.

    Group-wise boxplot of laterality indices for the verb-generation and semantic tasks. The mean LI was left-lateralized in every group, with no significant group differences at α = .05.

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    Fig 2.

    FC contrast between control and patient groups. Left and right MTS was associated with the most widespread, bilateral FC decreases compared with controls. Changes in both frontal and temporal language ROIs were found in left nl-TLE, while right nl-TLE and the left tumor groups showed decreases in only temporal language regions. Superior view in neurologic convention. Network based statistics, connection-corrected at P < .01 and seed-corrected at P false discovery rate < .05; seeds: 4 language network ROIs; target ROIs: supratentorial brain. Color bar shows t values (–6; 6), warm colors meaning decreased, cold colors increased FC strength (controls > patients).

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    Fig 3.

    FC changes between the ipsilesional HC and all other supratentorial ROIs show weaker connectivity to the superior frontal gyrus (SFG) in both patients with left and right MTS compared with controls. In left MTS, visual areas and the right temporal pole are also affected. In right MTS, left temporal, right parietal, and bilateral frontal areas show significant FC decreases. Superior view in neurologic convention. P false discovery rate–corrected < .05. Color bar shows t values (–6; 6), warm colors meaning decreased, cold colors increased FC strength (controls > patients). MTG indicates middle temporal gyrus.

Tables

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  • Demographics

    ControlsLeft nl-TLERight nl-TLELeft MTSRight MTSLeft Tumor
    No.Median (Range)No.Median (Range)No.Median(Range)No.Median(Range)No.Median (Range)No.Median (Range)
    Sex
     Male14141010166
     Female88141166
    Handedness
     Right211517201710
     Left165142
    Age at fMRI imaging (yr)34 (23–52)36 (21–55)3 (18–60)44 (17–64)39 (19–52)29 (18–54)
    Age at seizure onset (yr)NA23 (4–54)21 (1–35)17 (1–41)19 (1–42)25 (12–46)
    Duration of epilepsy (yr)NA9 (1–42)10 (1–43)21 (3–48)a14 (1–44)6 (1–29)a
    • Note:—NA indicates not applicable.

    • ↵a Significant difference (post hoc Tukey test, P = .04).

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O. Foesleitner, K.-H. Nenning, L. Bartha-Doering, C. Baumgartner, E. Pataraia, D. Moser, M. Schwarz, V. Schmidbauer, J.A. Hainfellner, T. Czech, C. Dorfer, G. Langs, D. Prayer, S. Bonelli, G. Kasprian
Lesion-Specific Language Network Alterations in Temporal Lobe Epilepsy
American Journal of Neuroradiology Jan 2020, 41 (1) 147-154; DOI: 10.3174/ajnr.A6350

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Lesion-Specific Language Network Alterations in Temporal Lobe Epilepsy
O. Foesleitner, K.-H. Nenning, L. Bartha-Doering, C. Baumgartner, E. Pataraia, D. Moser, M. Schwarz, V. Schmidbauer, J.A. Hainfellner, T. Czech, C. Dorfer, G. Langs, D. Prayer, S. Bonelli, G. Kasprian
American Journal of Neuroradiology Jan 2020, 41 (1) 147-154; DOI: 10.3174/ajnr.A6350
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