The utility of the Right Hemisphere Language Battery in patients with brain tumours

The Right Hemisphere Language Battery (RHLB) (Bryan, 1989) was devised to assess the presence of language disorders in patients with damage to the right cerebral hemisphere and to permit an evaluation of the efficacy of therapeutic techniques. To evaluate the utility and sensitivity of the RHLB in patients with solitary right hemispheric brain tumours 20 patients were assessed before and after neurosurgery. Twenty control subjects with no signs or symptoms of brain disease who were undergoing lumbar spinal surgery were also assessed. On six of the seven RHLB subtests there was no significant difference between the scores obtained preoperatively by patients with right hemispheric brain tumours and the control subjects. There was also no significant change in the scores of the patients with tumours before and after resection of the lesion. The RHLB is therefore not recommended for either evaluating communication deficits or for measuring the efficacy of therapeutic techniques in patients with right hemisphere brain tumours. This study does, however, show that there are statistically significant differences between the control and brain tumour groups on the discourse analysis subtest preoperatively. The implications of the study are discussed together with possible reasons for the findings.