Advances in brain mapping with functional magnetic resonance imaging (fMRI)
have opened an important window into understanding how language is organiz
ed in the developing brain. Children with epilepsy, particularly those anti
cipating surgical intervention, may benefit from preoperative language loca
lization with fMRI, thus minimizing the risk of incurring new deficits. Cli
nical applications of fMRI, however, await more information on how differen
t linguistic skills are represented in the developing brain and how epilept
ic lesions impact on this organization at different stages of cognitive dev
elopment, This article presents some of the current methods for brain mappi
ng in children as well as early results using fMRI for language mapping in
pediatric epilepsy. Copyright (C) 1999 S. Karger AG, Basel.