Arquivos de Neuro-Psiquiatria
versión On-line ISSN 1678-4227
FONTOURA, Denise Ren da et al. Language brain dominance in patients with refractory temporal lobe epilepsy: a comparative study between functional magnetic resonance imaging and dichotic listening test. Arq. Neuro-Psiquiatr. [online]. 2008, vol.66, n.1, pp. 34-39. ISSN 1678-4227. http://dx.doi.org/10.1590/S0004-282X2008000100009.
PURPOSE: To identify brain dominance for language functions with DLT and correlate these results with those obtained from fMRI in patients suffering from intractable temporal lobe epilepsy. METHOD: This study reports on 13 patients who underwent pre-surgical epileptic evaluation between April and October 2004 at the Epilepsy Surgery Program, Hospital Sao Lucas, PUCRS. In DLT, dominance was assessed through a consonant-vowel task, whereas in fMRI patients performed a verb generation task. RESULTS: Our results identified a correlation between the fMRI lateralization index and the DLT ear predominance index and reply difference index (r=0.6, p=0.02; Pearson Correlation Coefficient), showing positive correlation between results obtained from fMRI and DLT. CONCLUSION: DLT was found to significantly correlate with fMRI. These findings indicate that DLT (a non-invasive procedure) could be a useful tool to evaluate language brain dominance in pre-surgical epileptic patients as it is cheaper to perform than fMRI.
Palabras clave : dichotic listening test; functional magnetic resonance imaging; refractory temporal lobe epilepsy; brain dominance; language.