Female, 42 years old, with intractable temporal lobe epilepsy. Sensorimotor and cortex mapping for epilepsy presurgical evaluation. Sensorimotor cortical activation observed during the hand, foot and face/tongue motor tasks maps to its expected locations along the pre- and post-central gyri.All tested language paradigms produced reliable language related cortical activation. Language is left dominant with task-dependent minor contributions from the right hemisphere.There is robust cortical activity in the pars orbitalis of the left inferior frontal lobe and modest activity on certain paradigms in the pars opercularis, either or both of which could reflect Broca's area. Fairly robust cortical activity in Wernicke's area is identified along the posterior aspect of the left superior temporal sulcus.
Sensorimotor cortical activity maps as expected along the pre- and post-central gyri.Language is left dominant. Broca's area is identified as expected in the pars orbitalis and/or opercularis of the left inferior frontal lobe. Wernicke's area is identified as expected along the posterior aspect of the superior temporal sulcus.