Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging

Abstract Background Functional MRI has enabled us to map the anatomical location of functional areas of brain including language centers and thus provides useful insights in preoperative planning and assessment for neurosurgeons. In recent years, fMRI has also provided evidence for neuroplasticity w...

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Main Authors: Suryansh Arora, Kavita Vani
Format: Article
Language:English
Published: SpringerOpen 2022-07-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-022-00845-6
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author Suryansh Arora
Kavita Vani
author_facet Suryansh Arora
Kavita Vani
author_sort Suryansh Arora
collection DOAJ
description Abstract Background Functional MRI has enabled us to map the anatomical location of functional areas of brain including language centers and thus provides useful insights in preoperative planning and assessment for neurosurgeons. In recent years, fMRI has also provided evidence for neuroplasticity which implies that brain pathways have an ability to reorganize in response to any injury. Case presentation We present a case of a 27-year-old male, postoperative case of left frontotemporal glioma (WHO grade II) with residual tumor in inferior frontal, temporal and insular lobe in whom functional magnetic resonance imaging was carried out to elicit language centers. fMRI revealed activation of Wernicke’s area in left cerebral hemisphere in the right-handed patient, while Broca’s area was activated in right cerebral hemisphere, thus eliciting the translocation of Broca’s area in response to low-grade glioma. Conclusions This case provided an example of the ability of brain to reorganize pathways in response to injury or insult. The routine use of preoperative fMRI in such cases will help in better planning and lead to an improved postoperative outcome.
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spelling doaj.art-3c2724d50bc74cbcb38d2b87e4be93332022-12-22T01:39:01ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-07-015311410.1186/s43055-022-00845-6Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imagingSuryansh Arora0Kavita Vani1Department of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalDepartment of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia HospitalAbstract Background Functional MRI has enabled us to map the anatomical location of functional areas of brain including language centers and thus provides useful insights in preoperative planning and assessment for neurosurgeons. In recent years, fMRI has also provided evidence for neuroplasticity which implies that brain pathways have an ability to reorganize in response to any injury. Case presentation We present a case of a 27-year-old male, postoperative case of left frontotemporal glioma (WHO grade II) with residual tumor in inferior frontal, temporal and insular lobe in whom functional magnetic resonance imaging was carried out to elicit language centers. fMRI revealed activation of Wernicke’s area in left cerebral hemisphere in the right-handed patient, while Broca’s area was activated in right cerebral hemisphere, thus eliciting the translocation of Broca’s area in response to low-grade glioma. Conclusions This case provided an example of the ability of brain to reorganize pathways in response to injury or insult. The routine use of preoperative fMRI in such cases will help in better planning and lead to an improved postoperative outcome.https://doi.org/10.1186/s43055-022-00845-6Functional MRIGliomaNeuroplasticity
spellingShingle Suryansh Arora
Kavita Vani
Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
The Egyptian Journal of Radiology and Nuclear Medicine
Functional MRI
Glioma
Neuroplasticity
title Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
title_full Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
title_fullStr Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
title_full_unstemmed Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
title_short Translocation of Broca’s area in a case of low-grade glioma: reinforcing the importance of preoperative functional magnetic resonance imaging
title_sort translocation of broca s area in a case of low grade glioma reinforcing the importance of preoperative functional magnetic resonance imaging
topic Functional MRI
Glioma
Neuroplasticity
url https://doi.org/10.1186/s43055-022-00845-6
work_keys_str_mv AT suryansharora translocationofbrocasareainacaseoflowgradegliomareinforcingtheimportanceofpreoperativefunctionalmagneticresonanceimaging
AT kavitavani translocationofbrocasareainacaseoflowgradegliomareinforcingtheimportanceofpreoperativefunctionalmagneticresonanceimaging