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Related Concept Videos

Higher Mental Functions of the Brain: Language01:10

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Language is a system of communication that allows the expression of thoughts, ideas, and feelings. The brain processes language in both hemispheres.
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Language and Cognition01:27

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Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
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Related Experiment Video

Updated: Jan 14, 2026

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
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Awake Craniotomy in Patients With Language Deficits: A Retrospective Cohort Study in 48 Patients.

Suzanne L Hartung1, Irene M C Huenges Wajer1,2, Martine J E van Zandvoort1,3

  • 1Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht , the Netherlands.

Operative Neurosurgery (Hagerstown, Md.)
|October 22, 2025
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Summary

Awake brain surgery is feasible for glioma patients with language deficits. Intraoperative language monitoring during awake surgery helps identify functional boundaries and improves postoperative language outcomes.

Keywords:
Awake craniotomyCognitive monitoringFeasibilityLanguage

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Area of Science:

  • Neurosurgery
  • Neuro-oncology
  • Cognitive Neuroscience

Background:

  • Assessing feasibility of awake surgery for glioma patients with preoperative language deficits.
  • Evaluating intraoperative language monitoring techniques and their impact on outcomes.

Purpose of the Study:

  • To determine the applicability of awake surgery and intraoperative language monitoring in patients with preoperative language deficits.
  • To analyze the effect of cognitive monitoring on postoperative language function in glioma patients.

Main Methods:

  • Retrospective cohort study of 48 glioma patients with significant preoperative language deficits.
  • Comparison of preoperative and postoperative language deficits using group and individual analyses.
  • Evaluation of intraoperative language monitoring procedures and functional boundary identification.

Main Results:

  • Awake surgery and language tasks were feasible in 100% of patients with preoperative language deficits.
  • Functional boundaries for language were identified in 90% of these cases during surgery.
  • Patients demonstrated stable language comprehension and improved language production 3-6 months post-surgery.

Conclusions:

  • Awake brain surgery with intraoperative language monitoring is feasible and applicable for glioma patients with preoperative language deficits.
  • Cognitive monitoring during awake surgery benefits both low-grade and high-grade glioma patients, leading to improved language outcomes.
  • The study confirms the value of awake surgery in preserving and improving language function in this patient population.