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Abstract #1501

Altered Amplitude of Low Frequency Fluctuation in Language Eloquent Areas in Patients with Medically-refractory Temporal Lobe Epilepsy

Li Jiang1,2, Stephanie Chen3, Lorenna Vidal4, Jiachen Zhuo1,2, Rao Gullapalli1,2, and Prashant Raghavan2
1Center for Advanced Imaging Research, University of Maryland Baltimore, Baltimore, MD, United States, 2Department of Diagnostic Radiology & Nuclear Medicine, University of Maryland Baltimore, Baltimore, MD, United States, 3Department of Neurology, University of Maryland Baltimore, Baltimore, MD, United States, 4Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States

Temporal lobe epilepsy (TLE) is the most common type of epilepsy in adults. Language impairment can result from both continued seizures and surgical attempts to treat it. Thus, accurate preoperative assessment of language function is essential. Here we used resting-state fMRI to investigate the altered amplitude of low frequency fluctuation (ALFF) in language eloquent areas in medically-refractory TLE patients and its relationship with clinical language test measures. Our findings suggest that left TLE disrupts language function more than right TLE and that intrinsic spontaneous brain activity is altered even in the absence of detectable clinical language impairment.

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