Evidence map›Paper›PMID 40343519›Full record

ArticleBrain structure & function2025

Structural signatures of language reorganization after left hemispherotomy in patients with Rasmussen's encephalitis.

Anna Borne, Marcela Perrone-Bertolotti, Christine Bulteau, Emilie Cousin, Elise Roger, Monica Baciu

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In one paragraph

Article in Brain structure & function, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Anna BorneUniv. Grenoble Alpes, CNRS, LPNC, Grenoble, 38000, France.
Marcela Perrone-BertolottiUniv. Grenoble Alpes, CNRS, LPNC, Grenoble, 38000, France.
Christine BulteauService de Neurochirurgie Pédiatrique, EpiCARE member, Hôpital Fondation Adolphe de Rothschild, Paris, 75019, France.
Emilie CousinUniv. Grenoble Alpes, CNRS, LPNC, Grenoble, 38000, France.
Elise RogerCommunication and Aging Lab, Institut Universitaire de Gériatrie de Montréal, Montreal, QC, Canada.
Monica BaciuUniv. Grenoble Alpes, CNRS, LPNC, Grenoble, 38000, France. monica.baciu@univ-grenoble-alpes.fr.ORCID http://orcid.org/0000-0002-6842-1317

Funding

LabEx CerCoG, Agence Nationale de la Recherche, France ANR-15-IDEX-02
6 · The paper itself

Abstract

Rasmussen's encephalitis (RE) is a rare neurological disorder affecting a single cerebral hemisphere, often requiring hemispherotomy as a curative treatment. While significant brain plasticity occurs due to the pathology and surgical intervention, the mechanisms underlying cognitive functioning in the remaining hemisphere remain poorly understood. This multiple-case study longitudinally investigates neurocognitive reorganization in childhood after left hemispherotomy for RE and identifies structural patterns in the right hemisphere associated with language recovery. Indeed, the mechanisms that allow the right hemisphere to support language, after left hemispherotomy remain unclear. Cognitive trajectories were analyzed in three RE patients, and their cortical thickness (CT) changes were compared with data from a publicly available cohort of 393 healthy subjects. Language neuropsychological scores and T1-weighted MRI data were assessed in the healthy right hemisphere before hemispherotomy, one year, and five years post-surgery. Specifically, principal component analysis, structural covariance, and graph theory approaches were employed to investigate language network organization in patients and controls. Results reveal diverse language recovery trajectories among the three patients. Regarding CT, three potential signatures associated with favorable language outcomes were identified: (1) normal or below-normal CT values in cortical regions; (2) a more associative and integrative organization of the language network; and (3) increased global efficiency. These preliminary longitudinal findings provide novel insights into the mechanisms of neurocognitive reorganization following left hemispherotomy in childhood. By emphasizing structural patterns linked to favorable postoperative language recovery, this study highlights their value for guiding future research and clinical interventions.

Indexed as

BrainEncephalitisHemispherectomyLanguageCerebral CortexChildFemaleFunctional LateralityHumansLongitudinal StudiesMagnetic Resonance ImagingMaleNeuropsychological TestsHemispherotomyLanguageNetworkNeurocognitive organizationRasmussen’s encephalitis

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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.