Functional MRI reveals declined prefrontal cortex activation in patients with epilepsy on topiramate therapy

Jacobus F.A. Jansen (Corresponding author), Albert P. Aldenkamp, H.J.M. Majoie, Rianne P. Reijs, Marc C.T.F.M. de Krom, Paul A.M. Hofman, M.E. Kooi, Klaas Nicolay, Walter H. Backes

    Research output: Contribution to journalArticleAcademicpeer-review

    68 Citations (Scopus)

    Abstract

    Functional magnetic resonance imaging of covert word generation was used to examine brain activation abnormalities associated with topiramate-induced cognitive language impairment in patients with epilepsy. Compared with a control epilepsy group, in the topiramate-treated group, there was significantly less activation in the language-mediating regions of the prefrontal cortex; the topiramate group also had significantly lower neuropsychological language scores. These findings suggest that topiramate has a critical effect on the cerebral neural systems that mediate expressive language.

    Original languageEnglish
    Pages (from-to)181-185
    Number of pages5
    JournalEpilepsy and Behavior
    Volume9
    Issue number1
    DOIs
    Publication statusPublished - 1 Aug 2006

    Keywords

    • Cognition
    • Epilepsy
    • Functional magnetic resonance imaging
    • Language
    • Neuropsychology
    • Topiramate

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