{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T15:01:03Z","timestamp":1781190063665,"version":"3.54.1"},"reference-count":72,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Recent voxel-based lesion symptom mapping (VLSM) studies have identified a critical region for picture naming, located 3.4 to 6.1 cm from the temporal pole. Its resection during left temporal lobe epilepsy surgery led to postoperative decline in picture naming. However, postoperative anomia has been reported after classic left temporal lobectomy, which rarely extends so posteriorly. The aim of the present study was to evaluate patients\u2019 postoperative picture naming outcome on the basis of their precise surgical cavities in light of the recent findings from VLSM studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>In this monocentric retrospective study, the authors analyzed picture naming outcome and the surgical cavities of 34 patients who underwent surgery for left temporal lobe epilepsy. The authors evaluated their cohort\u2019s surgical cavities on the basis of the critical regions identified by VLSM studies as essential to picture naming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The surgical cavities of patients were anterior to the critical regions for picture naming identified by VLSM studies in the literature. Eight of 11 patients with postoperative lexical access decline at 18 months had a posterior limit of the lesioned voxels that did not reach the critical region identified by VLSM studies. Only 3 of 11 patients with a postoperative picture naming decline had surgical cavities reaching these critical regions. Conversely, 3 of 23 patients with stable or improved postoperative picture naming had surgical cavities reaching these critical regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Keeping a surgical cavity anterior to the limits identified by recent VLSM studies does not protect patients from postoperative picture naming decline. Interindividual anteroposterior variability of the basal temporal language area could complete the explanation offered by VLSM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2024.9.jns24508","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T20:28:09Z","timestamp":1737750489000},"page":"1535-1544","source":"Crossref","is-referenced-by-count":3,"title":["Posterior extent of left anterior temporal lobectomy and picture naming decline"],"prefix":"10.3171","volume":"142","author":[{"given":"Insafe","family":"Mezjan","sequence":"first","affiliation":[{"name":"Service de Neurochirurgie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Ing\u00e9nierie Mol\u00e9culaire Cellulaire & Physiopathologie (IMoPA), Universit\u00e9 de Lorraine, CNRS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Colnat-Coulbois","sequence":"additional","affiliation":[{"name":"Service de Neurochirurgie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Ing\u00e9nierie Mol\u00e9culaire Cellulaire & Physiopathologie (IMoPA), Universit\u00e9 de Lorraine, CNRS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Aron","sequence":"additional","affiliation":[{"name":"Service de Neurologie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Ing\u00e9nierie Mol\u00e9culaire Cellulaire & Physiopathologie (IMoPA), Universit\u00e9 de Lorraine, CNRS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micka\u00ebl","family":"Ferrand","sequence":"additional","affiliation":[{"name":"Service de Neurologie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Ing\u00e9nierie Mol\u00e9culaire Cellulaire & Physiopathologie (IMoPA), Universit\u00e9 de Lorraine, CNRS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"Brissart","sequence":"additional","affiliation":[{"name":"Service de Neurologie, Universit\u00e9 de Lorraine, CHRU-Nancy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natacha","family":"Forthoffer","sequence":"additional","affiliation":[{"name":"Service de Neurologie, Universit\u00e9 de Lorraine, CHRU-Nancy;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Maillard","sequence":"additional","affiliation":[{"name":"Service de Neurologie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Ing\u00e9nierie Mol\u00e9culaire Cellulaire & Physiopathologie (IMoPA), Universit\u00e9 de Lorraine, CNRS; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabien","family":"Rech","sequence":"additional","affiliation":[{"name":"Service de Neurochirurgie, Universit\u00e9 de Lorraine, CHRU-Nancy;"},{"name":"Centre de Recherche en Automatique de Nancy (CRAN), Universit\u00e9 de Lorraine, CNRS, Nancy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"22","key":"b1","series-title":"Neurology","first-page":"2363","article-title":"Estimating risk of word-finding problems in adults undergoing epilepsy surgery","volume":"87","author":"Busch RM","year":"2016","unstructured":"Busch RM, Floden DP, Prayson B,  Estimating risk of word-finding problems in adults undergoing epilepsy surgery. 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