Female, 32 years old, with intractable right temporal epilepsy. Functional MRI requested for surgical planning. Sensorimotor cortical activation of the hand, foot and face maps as expected along the pre- and post-central gyri. Visual cortical activation maps as expected along the bilateral calcarine sulci. Reliable activity to indicate the location of the lateral geniculate nuclei could not be achieved.Of the tested language paradigms, the most reliable language related cortical activation is seen with the verb generation and sentence completion paradigms. Language is left dominant. Broca's area activity is identified in its customary location of the left inferior frontal gyrus, predominantly pars opercularis. Several foci of activity are seen within the left superior and middle temporal gyri, any or all of which could reflect Wernicke's area activity.
Successful functional MRI for presurgical planning. The sensorimotor cortex is visualized along with the primary visual cortex. Language is left dominant with Broca's and Wernicke's areas visualized in their accustomed locations. 