Case 16 Eloquent Cortex Low-grade Glioma

Fig. 16.1 (A) T1- and (B) T2-weighted axial magnetic resonance images of the brain at the level of the temporal lobe.
Clinical Presentation
- A 22-year-old woman presents with a 2-month history of seizures: she loses concentration, stares, but does not lose consciousness.
- Seizures were controlled on carbamazepine, but now have progressed to tremors in the left hand and are refractory to medications.
- She is right-handed and has no significant past medical history.
- Neurologic examination is unremarkable.
- A magnetic resonance imaging (MRI) scan is obtained (Fig. 16.1).
Questions

Fig. 16.2 Functional magnetic resonance imaging (fMRI) demonstrating bilaterality of (A) listening and (B) speech areas in the brain.
Answers
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