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Related Experiment Video

Updated: May 12, 2026

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
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Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Published on: August 12, 2019

Precision in long-term language evaluation after awake brain tumor surgery.

Barbara Vogrincic1,2, Saskia Mooijman3,2, Arnaud Vincent2

  • 1Faculty of Medicine, University of Ljubljana, Slovenia.

Neuro-Oncology Practice
|May 11, 2026
PubMed
Summary

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Language deficits from gliomas can persist long-term, impacting quality of life. The Diagnostic Instrument for Mild Aphasia (DIMA) effectively identifies these persistent, mild language impairments after surgery.

Area of Science:

  • Neurosurgery
  • Neurology
  • Linguistics

Background:

  • Gliomas can cause persistent language deficits affecting patient quality of life.
  • Awake surgery for gliomas necessitates understanding long-term language outcomes.
  • Assessing subtle, long-term language impairments is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate language impairments and long-term outcomes following awake surgery for gliomas.
  • To evaluate the efficacy of the Diagnostic Instrument for Mild Aphasia (DIMA) in detecting long-term language deficits.
  • To compare language outcomes based on tumor invasiveness and hemispheric location.

Main Methods:

  • Administered DIMA and traditional language tests preoperatively and at 3 and 12 months postoperatively.
Keywords:
Diagnostic Instrument for Mild Aphasia (DIMA)awake craniotomygliomaslanguage assessmentlong-term language outcome

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  • Compared language function in patients with less invasive (Group 1) versus more invasive (Group 2) gliomas.
  • Included 79 patients preoperatively, with follow-up data from 68 and 35 patients at later time points.

    • Main Results:

    • Preoperative deficits in lexico-syntax and phonology were identified by DIMA, varying by tumor invasiveness.
    • Traditional tests revealed preoperative word retrieval and verbal fluency deficits in all patients.
    • DIMA detected long-term mild impairments at phonological, semantic, and lexico-syntactic levels, depending on tumor location.

    Conclusions:

    • Mild, long-term language impairments are common after glioma surgery, detectable by DIMA.
    • DIMA is a valuable tool for diagnosing language impairments in glioma patients, complementing traditional tests.
    • Language deficits can persist across various linguistic levels and hemispheric locations, underscoring the need for specialized assessment.