Epilepsy Patient Case
20 year old patient confirms with EEG that seizures are coming from right anterior side and on the T1, confirms abnormal brain. Neurosurgery would remove this section to reduce seizures. Task fMRI shows only left sided motor function.
Resting State fMRI shows Big Surprise
The Wash U team acquired a resting-state fMRI scan and were surprised to see activation on the right side, where they were planning to resect. These epilepsy cases are complex, and incorporating resting-state fMRI in every case can be very informative, revealing distinct areas of activation that may or may not overlap directly with conventional task-based fMRI methods. The Wash U team realized that it was best to obtain a resting-state scan for each patient.
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EGBM Cases: Resting State Identifies Motor and Language
Two glioma cases show the role of resting-state fMRI in identifying motor and language areas.
Case A: Somatosensory motor area is displaced anterior to right sided tumor.
Case B: Broca’s area is displaced anterior to the left sided tumor.