POSITRON emission tomography (PET) studies have shown normal or elevat
ed levels of glucose metabolism in neuronal heterotopia, raising the i
ssue of potential participation of heterotopic neurons in cognitive pr
ocessing. We studied three patients with heterotopic malformations, us
ing [O-15]water PET and experimental conditions selected according to
the location of the malformations. Task performance was associated wit
h blood flow increases of > 17% within the heterotopia in each patient
. In two, these occurred in left frontal heterotopia during sentence g
eneration. In the third patient, activations for facial and visuospati
al discrimination and picture naming were found in a right posterior h
eterotopion. Our findings may reflect participation of heterotopia in
cognitive function and suggest that heterotopic neurons synapse with n
eurons in other brain regions. NeuroReport 9: 2527-2533 (C) 1998 Rapid
Science Ltd.