Evaluación de la actividad cerebro-cerebelar cruzada para determinar la lateralidad del lenguaje en pacientes con tumores cerebrales

CAROLINA MÉNDEZ-ORELLANA, LEONARDO ARRAÑO-CARRASCO, BÁRBARA CORTÉS-RIVERA, KARINA SANDOVAL-LEÓN, JOSÉ LORENZONI-SANTOS, PABLO VILLANUEVA-GARÍN, RICARDO ROJAS-VALDIVIA, TEOBALDO MÉNDEZ-ORTEGA, JAIME MONSALVE-ROSALES, PAULO FLORES-KRUUSE, PABLO CARMONA-RAMMSY, DAVID ROJAS-PINTO, ÁLVARO REYES-PONCE, FRANCISCO MERY-MUÑOZ

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Background: The crossed cerebro-cerebellar (CCC) activation facilitates the diagnosis of cortical language lateralization, but needs to be explored with language tasks suitable for patients with different age ranges, educational attainment and eventual presence of language deficits. Aim: To determine the effect of demographic variables in the performance of three language tasks in healthy volunteers and to determine the CCC activation of these tasks as a functional magnetic resonance imaging (fMRI) paradigm in brain tumor patients. Material and Methods: The behavioral performance (correct responses and reaction time) of three language tasks (verbal fluency, semantic and phonological decision tasks) was first examined in 76 healthy volunteers balanced by age and educational level. Later, these tasks were implemented as fMRI paradigms to explore CCC language activation of 20 patients with potential diagnosis of brain tumors. Results: The performance of the verbal fluency task was affected by age. The CCC language activation was reproducible with the semantic and phonological tasks. The combination of the tasks determined typical and atypical language lateralization in 60% and 40% of our patients, respectively. Conclusions: The verbal fluency task must be implemented with care as a clinical fMRI paradigm. Our results suggest that semantic and phonological tasks can be a good alternative for brain tumor patients with language deficits.

Título traducido de la contribuciónEvaluation of the crossed cerebro-cerebellar activation to determine language lateralization in patients with brain tumors
Idioma originalEspañol
Páginas (desde-hasta)689-697
Número de páginas9
PublicaciónRevista Medica de Chile
Volumen149
N.º5
DOI
EstadoPublicada - may. 2021

Palabras clave

  • Brain Neoplasms
  • Cerebellum
  • Functional Laterality
  • Language
  • Magnetic Resonance Imaging

Áreas temáticas de ASJC Scopus

  • Medicina (todo)

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