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Updated: Jun 4, 2026

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
Published on: August 12, 2019
Language testing during awake "anesthesia" in a bilingual patient with brain lesion adjacent to Wernicke's area
Federico Bilotta1, Elisabetta Stazi, Roberto Delfini
1Department of Anesthesiology, Critical Care and Pain Medicine, Sapienza University of Rome, Viale Acherusio 16, Rome 00199, Italy. bilotta@tiscali.it
Abstract:
Awake "anesthesia" is the preferable anesthetic approach for neurosurgical procedures that require intraoperative localization of eloquent brain areas. We describe intraoperative inducible selective English aphasia in a bilingual (English and Italian) patient undergoing awake anesthesia for excision of a brain lesion adjacent to Wernicke's area with no postoperative neurological sequelae. We discuss the importance of intraoperative brain mapping and intraoperative language testing in bilingual patients to prevent iatrogenic-related morbidity.
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