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Wada testing and fMRI in a polyglot evaluated for epilepsy surgery
Author(s) -
Bohm Parker,
McKay Jake,
Lucas John,
Sabsevitz David,
Feyissa Anteneh M.,
Ritaccio Tony,
Grewal Sanjeet S.,
Wharen Robert E.,
Gupta Vivek,
Tatum William O.
Publication year - 2020
Publication title -
epileptic disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.673
H-Index - 53
eISSN - 1950-6945
pISSN - 1294-9361
DOI - 10.1684/epd.2020.1145
Subject(s) - wada test , epilepsy , epilepsy surgery , neuropsychology , language function , temporal lobe , medicine , aphasia , psychology , magnetic resonance imaging , neurology , audiology , physical medicine and rehabilitation , neuroscience , radiology , cognition , computer science , natural language processing
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.