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首页> 外文期刊>Journal of neurosurgery. >Language supplementary motor area syndrome correlated with dynamic changes in perioperative task-based functional MRI activations: case report
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Language supplementary motor area syndrome correlated with dynamic changes in perioperative task-based functional MRI activations: case report

机译:语言补充电机区综合征与基于围手术期任务的功能MRI激活的动态变化相关:案例报告

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摘要

Supplementary motor area (SMA) syndrome is well known; however, the mechanism underlying recovery from language SMA syndrome is unclear. Herein the authors report the case of a right-handed woman with speech aphasia following resection of an oligodendroglioma located in the anterior aspect of the left superior frontal gyrus. The patient exhibited language SMA syndrome, and functional MRI (fMRI) findings 12 days postoperatively demonstrated a complete shift of blood oxygen level-dependent (BOLD) activation to the contralateral right language SMA/pre-SMA as well as coequal activation and an increased volume of activation in the left Broca's area and the right Broca's homolog. The authors provide, to the best of their knowledge, the first description of dynamic changes in task-based hemispheric language BOLD fMRI activations across the preoperative, immediate postoperative, and more distant postoperative settings associated with the development and subsequent complete resolution of the clinical language SMA syndrome.
机译:辅助运动区(SMA)综合征是众所周知的;然而,语言SMA综合征恢复的机制尚不清楚。本文作者报告了一例右利手女性在切除位于左额上回前部的少突胶质细胞瘤后出现语言失语症的病例。患者表现为语言SMA综合征,术后12天的功能性MRI(fMRI)结果显示血氧水平依赖性(BOLD)激活完全转移至对侧右侧语言SMA/前SMA,左侧Broca区和右侧Broca区的激活量相同,且激活量增加。据作者所知,首次描述了与临床语言SMA综合征的发展和随后的完全解决相关的术前、术后即刻和较远的术后设置中,基于任务的大脑半球语言BOLD功能磁共振激活的动态变化。

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