Evidence map›Paper›PMID 25355817›Full record

ArticleAJNR. American journal of neuroradiology2015

Crossed cerebrocerebellar language lateralization: an additional diagnostic feature for assessing atypical language representation in presurgical functional MR imaging.

C Méndez Orellana, E Visch-Brink, M Vernooij, S Kalloe, D Satoer, A Vincent, A van der Lugt, M Smits

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

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17citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Intraoperative neurophysiology of the cerebellum: a tabula rasa.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
  2. Article
  3. Article
  4. BOLD fMRI and DTI fiber tracking for preoperative mapping of eloquent cerebral regions in brain tumor patients: impact on surgical approach and outcome.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
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  16. Cerebellar mutism.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015
    Review
  17. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

C Méndez OrellanaFrom the Departments of Radiology (C.M.O., M.V., S.K., A.v.d.L., M.S.) Neurology (C.M.O., E.V.-B).
E Visch-BrinkNeurology (C.M.O., E.V.-B) Neurosurgery (E.V.-B., D.S., A.V.), Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
M VernooijFrom the Departments of Radiology (C.M.O., M.V., S.K., A.v.d.L., M.S.).
S KalloeFrom the Departments of Radiology (C.M.O., M.V., S.K., A.v.d.L., M.S.).
D SatoerNeurosurgery (E.V.-B., D.S., A.V.), Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
A VincentNeurosurgery (E.V.-B., D.S., A.V.), Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
A van der LugtFrom the Departments of Radiology (C.M.O., M.V., S.K., A.v.d.L., M.S.).
M SmitsFrom the Departments of Radiology (C.M.O., M.V., S.K., A.v.d.L., M.S.) marion.smits@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDetermining language dominance with fMRI is challenging in patients with brain tumor, particularly in cases of suspected atypical language representation. Supratentorial activation patterns must be interpreted with great care when the tumor is in or near the presumed language areas, where tumor tissue or mass effect can lead to false-negative fMRI results. In this study, we assessed cerebrocerebellar language fMRI lateralization in healthy participants and in patients with brain tumors with a focus on atypical language representation. MATERIALS AND

methodsTwenty healthy participants and 38 patients with a brain tumor underwent fMRI with a verb-generation task. Cerebral and cerebellar language lateralizations were separately classified as left-sided, right-sided, or symmetric. Electrocortical stimulation was performed in 19 patients. With the McNemar test, we evaluated the dependency between language lateralization in the cerebrum and cerebellum, and with Pearson correlation analysis, the relationship between the cerebral and cerebellar lateralization indices.

resultsThere was a significant dependency between cerebral and cerebellar language activation, with moderate negative correlation (Pearson r = -0.69). Crossed cerebrocerebellar language activation was present in both healthy participants and patients, irrespective of handedness or typical or atypical language representation. There were no discordant findings between fMRI and electrocortical stimulation.

conclusionsLanguage lateralization in the cerebellum can be considered an additional diagnostic feature to determine language dominance in patients with brain tumor. This is particularly useful in cases of uncertainty, such as the interference of a brain tumor with cerebral language activation on fMRI and atypical language representation.

Indexed as

LanguageMagnetic Resonance ImagingAdultAgedBrain MappingBrain NeoplasmsCerebellumDominance, CerebralFemaleHumansLanguage TestsMaleMiddle Aged

Identifiers

PMID25355817
PMCPMC8013051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.