Clinical significance and developmental changes of auditory-language-related gamma activity
Highlights ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, infer...
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| Published in: | Clinical neurophysiology Vol. 124; no. 5; pp. 857 - 869 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-05-2013
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| Abstract | Highlights ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function. ► Regardless of age, auditory-language-related gamma-augmentation most commonly involved the 80–100 Hz frequency band. |
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| AbstractList | Highlights ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function. ► Regardless of age, auditory-language-related gamma-augmentation most commonly involved the 80–100 Hz frequency band. OBJECTIVEWe determined the clinical impact and developmental changes of auditory-language-related augmentation of gamma activity at 50-120 Hz recorded on electrocorticography (ECoG). METHODSWe analyzed data from 77 epileptic patients ranging 4-56 years in age. We determined the effects of seizure-onset zone, electrode location, and patient-age upon gamma-augmentation elicited by an auditory-naming task. RESULTSGamma-augmentation was less frequently elicited within seizure-onset sites compared to other sites. Regardless of age, gamma-augmentation most often involved the 80-100 Hz frequency band. Gamma-augmentation initially involved bilateral superior-temporal regions, followed by left-side dominant involvement in the middle-temporal, medial-temporal, inferior-frontal, dorsolateral-premotor, and medial-frontal regions and concluded with bilateral inferior-Rolandic involvement. Compared to younger patients, those older than 10 years had a larger proportion of left dorsolateral-premotor and right inferior-frontal sites showing gamma-augmentation. The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function (r(2) = 0.59; p = 0.001; odds ratio = 6.04 [95% confidence-interval: 2.26-16.15]). CONCLUSIONSAuditory-language-related gamma-augmentation can provide additional information useful to localize the primary language areas. SIGNIFICANCEThese results derived from a large sample of patients support the utility of auditory-language-related gamma-augmentation in presurgical evaluation. We determined the clinical impact and developmental changes of auditory-language-related augmentation of gamma activity at 50-120 Hz recorded on electrocorticography (ECoG). We analyzed data from 77 epileptic patients ranging 4-56 years in age. We determined the effects of seizure-onset zone, electrode location, and patient-age upon gamma-augmentation elicited by an auditory-naming task. Gamma-augmentation was less frequently elicited within seizure-onset sites compared to other sites. Regardless of age, gamma-augmentation most often involved the 80-100 Hz frequency band. Gamma-augmentation initially involved bilateral superior-temporal regions, followed by left-side dominant involvement in the middle-temporal, medial-temporal, inferior-frontal, dorsolateral-premotor, and medial-frontal regions and concluded with bilateral inferior-Rolandic involvement. Compared to younger patients, those older than 10 years had a larger proportion of left dorsolateral-premotor and right inferior-frontal sites showing gamma-augmentation. The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function (r(2) = 0.59; p = 0.001; odds ratio = 6.04 [95% confidence-interval: 2.26-16.15]). Auditory-language-related gamma-augmentation can provide additional information useful to localize the primary language areas. These results derived from a large sample of patients support the utility of auditory-language-related gamma-augmentation in presurgical evaluation. ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function. ► Regardless of age, auditory-language-related gamma-augmentation most commonly involved the 80–100Hz frequency band. We determined the clinical impact and developmental changes of auditory-language-related augmentation of gamma activity at 50–120Hz recorded on electrocorticography (ECoG). We analyzed data from 77 epileptic patients ranging 4–56years in age. We determined the effects of seizure-onset zone, electrode location, and patient-age upon gamma-augmentation elicited by an auditory-naming task. Gamma-augmentation was less frequently elicited within seizure-onset sites compared to other sites. Regardless of age, gamma-augmentation most often involved the 80–100Hz frequency band. Gamma-augmentation initially involved bilateral superior-temporal regions, followed by left-side dominant involvement in the middle-temporal, medial-temporal, inferior-frontal, dorsolateral-premotor, and medial-frontal regions and concluded with bilateral inferior-Rolandic involvement. Compared to younger patients, those older than 10years had a larger proportion of left dorsolateral-premotor and right inferior-frontal sites showing gamma-augmentation. The incidence of a post-operative language deficit requiring speech therapy was predicted by the number of resected sites with gamma-augmentation in the superior-temporal, inferior-frontal, dorsolateral-premotor, and inferior-Rolandic regions of the left hemisphere assumed to contain essential language function (r2=0.59; p=0.001; odds ratio=6.04 [95% confidence-interval: 2.26–16.15]). Auditory-language-related gamma-augmentation can provide additional information useful to localize the primary language areas. These results derived from a large sample of patients support the utility of auditory-language-related gamma-augmentation in presurgical evaluation. |
| Author | Fuerst, Darren Brown, Erik C Shah, Aashit Kojima, Katsuaki Basha, Maysaa Mittal, Sandeep Rothermel, Robert Carlson, Alanna Sood, Sandeep Asano, Eishi Matsuzaki, Naoyuki Atkinson, Marie |
| AuthorAffiliation | 6 MD-PhD Program, Wayne State University, School of Medicine, Detroit, Michigan, 48201, USA 2 Department of Neurology, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA 4 Department of Psychology, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA 1 Department of Pediatrics, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA 3 Department of Neurosurgery, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA 5 Psychiatry and Behavioral Neurosciences, Wayne State University, School of Medicine, Detroit, Michigan, 48201, USA |
| AuthorAffiliation_xml | – name: 2 Department of Neurology, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA – name: 5 Psychiatry and Behavioral Neurosciences, Wayne State University, School of Medicine, Detroit, Michigan, 48201, USA – name: 6 MD-PhD Program, Wayne State University, School of Medicine, Detroit, Michigan, 48201, USA – name: 3 Department of Neurosurgery, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA – name: 4 Department of Psychology, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA – name: 1 Department of Pediatrics, Wayne State University, Detroit Medical Center, Detroit, Michigan, 48201, USA |
| Author_xml | – sequence: 1 fullname: Kojima, Katsuaki – sequence: 2 fullname: Brown, Erik C – sequence: 3 fullname: Rothermel, Robert – sequence: 4 fullname: Carlson, Alanna – sequence: 5 fullname: Fuerst, Darren – sequence: 6 fullname: Matsuzaki, Naoyuki – sequence: 7 fullname: Shah, Aashit – sequence: 8 fullname: Atkinson, Marie – sequence: 9 fullname: Basha, Maysaa – sequence: 10 fullname: Mittal, Sandeep – sequence: 11 fullname: Sood, Sandeep – sequence: 12 fullname: Asano, Eishi |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23141882$$D View this record in MEDLINE/PubMed |
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| Keywords | High-frequency oscillations (HFOs) Event-related synchronization Outcome Ripples Intracranial EEG recording Epilepsy surgery Oncogenicity |
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| Snippet | Highlights ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative... ► An auditory naming task elicited augmentation of gamma activity on intracranial ECoG in epileptic patients. ► The incidence of a post-operative language... We determined the clinical impact and developmental changes of auditory-language-related augmentation of gamma activity at 50-120 Hz recorded on... OBJECTIVEWe determined the clinical impact and developmental changes of auditory-language-related augmentation of gamma activity at 50-120 Hz recorded on... |
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| SubjectTerms | Adolescent Adult Brain - growth & development Brain - physiopathology Brain Mapping - methods Child Child, Preschool Electroencephalography Epilepsy - physiopathology Epilepsy surgery Event-related synchronization Female High-frequency oscillations (HFOs) Humans Image Processing, Computer-Assisted Intracranial EEG recording Language Male Middle Aged Neurology Oncogenicity Outcome Ripples Young Adult |
| Title | Clinical significance and developmental changes of auditory-language-related gamma activity |
| URI | https://www.clinicalkey.es/playcontent/1-s2.0-S1388245712006979 https://dx.doi.org/10.1016/j.clinph.2012.09.031 https://www.ncbi.nlm.nih.gov/pubmed/23141882 https://search.proquest.com/docview/1327724534 https://pubmed.ncbi.nlm.nih.gov/PMC3577943 |
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