Dichotic memory: paradoxical effect of removing a left frontal gyrus: a case study

Int J Neurosci. 1998 Apr;93(3-4):279-86. doi: 10.3109/00207459808986433.

Abstract

A 27-year-old right-handed woman was operated with resection of an epileptogenic lesion, a nonmalignant tumor, in the left frontal lobe. The surrounding cortical and subcortical tissue in the tumor-containing gyrus was also resected. Care was taken during the operation not to interfere with motor or language related cortical areas. Pre- and postoperatively, she was tested with a dichotic memory test. In the preoperative test, she showed a marked Left Ear Advantage. In the corresponding tests on the second and fourth postoperative days and at follow-up, her performance had changed to a Right Ear Advantage. A possible explanation of this result is that neighboring cortical areas involved in hemispheric specialization for lateralized, verbal cognitive functions are suppressed by a focal epiletogeneic activity caused by the tumor. The subsequent removal of this influence allowed these cortical areas to function normally.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain / pathology
  • Brain Neoplasms / complications
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery
  • Dichotic Listening Tests*
  • Epilepsy / etiology
  • Epilepsy / pathology
  • Epilepsy / surgery
  • Female
  • Frontal Lobe / physiology*
  • Frontal Lobe / surgery
  • Functional Laterality / physiology
  • Humans
  • Magnetic Resonance Imaging
  • Memory / physiology*