1. Reemergence of the language network during recovery from severe traumatic brain injury: A pilot functional MRI study.
- Author
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Coffey, Brian J., Threlkeld, Zachary D., Foulkes, Andrea S., Bodien, Yelena G., and Edlow, Brian L.
- Subjects
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BRAIN physiology , *BRAIN , *SPEECH perception , *AUDITORY evoked response , *PILOT projects , *INTENSIVE care units , *NEURAL pathways , *OXYGEN , *CONVALESCENCE , *LANGUAGE & languages , *MAGNETIC resonance imaging , *SEVERITY of illness index , *CELLULAR signal transduction , *BRAIN injuries , *LONGITUDINAL method , *CONSCIOUSNESS - Abstract
We hypothesized that, in patients with acute severe traumatic brain injury (TBI) who recover basic language function, speech-evoked blood-oxygen-level-dependent (BOLD) functional MRI (fMRI) responses within the canonical language network increase over the first 6 months post-injury. We conducted a prospective, longitudinal fMRI pilot study of adults with acute severe TBI admitted to the intensive care unit. We also enrolled age- and sex-matched healthy subjects. We evaluated BOLD signal in bilateral superior temporal gyrus (STG) and inferior frontal gyrus (IFG) regions of interest acutely and approximately 6 months post-injury. Given evidence that regions outside the canonical language network contribute to language processing, we also performed exploratory whole-brain analyses. Of the 16 patients enrolled, eight returned for follow-up fMRI, all of whom recovered basic language function. We observed speech-evoked longitudinal BOLD increases in the left STG, but not in the right STG, right IFG, or left IFG. Whole-brain analysis revealed increases in the right supramarginal and middle temporal gyri but no differences between patients and healthy subjects (n = 16). This pilot study suggests that, in patients with severe TBI who recover llanguage function, speech-evoked responses in bihemispheric language-processing cortex reemerge by 6 months post-injury. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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