Male, 18 years old, with drug resistant focal epilepsy, fMRI for surgical planning. Sensorimotor cortical activation of the hand, foot and face maps as expected along the pre- and post-central gyri. Visual cortical stimulation maps as expected along the calcarine sulci.Of the tested language paradigms, the most reliable language related cortical activation is seen with the word generation, verb generation, and sentence completion paradigms. Language is left dominant. Broca's area is well visualized on all paradigms and identified as several foci of activation within the inferior left frontal gyrus. Wernicke's area is visualized only on the sentence completion paradigm and identified as a focus of activation along the posterior aspect of the left superior temporal sulcus.
Technically successful functional MRI for surgical planning. The sensorimotor and primary visual cortices are well demarcated. Language is left dominant with Broca's and Wernicke's areas identified in their customary locations.