Electrical Stimulation Mapping of Language in Multilingualism

Electrical stimulation mapping (ESM) is a method to evaluate the brainʼs functional organization in brain tumors and epilepsy patients by directly stimulating it and observing the responses. Many publications have described the cortical organization of language in multilingual subjects : however, th...

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Published inHigher Brain Function Research Vol. 42; no. 3; pp. 282 - 286
Main Authors Fujii, Masazumi, Maesawa, Satoshi, Futamura, Miyako, Kobayashi, Shunsuke, Hiruta, Ryo
Format Journal Article
LanguageEnglish
Japanese
Published Japan Society for Higher Brain Dysfunction 30.09.2022
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ISSN1348-4818
1880-6554
DOI10.2496/hbfr.42.282

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Abstract Electrical stimulation mapping (ESM) is a method to evaluate the brainʼs functional organization in brain tumors and epilepsy patients by directly stimulating it and observing the responses. Many publications have described the cortical organization of language in multilingual subjects : however, the localization patterns among the first, second, and even later languages seem to be diverse and complex. One of the reasons for this complexity is that language organization in multilingualism can be influenced by many factors, such as the age of languages acquisition, languages proficiency level, degree of exposure to each language, degree of language hemispheric lateralization, and localization and duration of the pathology. According to a recent systematic review, it is necessary to evaluate each language separately when performing resection of brain lesions since languages can demonstrate distinctive organization patterns depending on the factors mentioned above. Here, we present two multilingual patients who had awake surgery in which EMS has demonstrated common and specific areas for their languages. Also, some areas elicited language switching after stimulation. Interestingly, in one patient, a significant change in cortical language organization was observed at the time of reoperation, reflecting the process of brain plasticity in slowly growing glial tumor.
AbstractList Electrical stimulation mapping (ESM) is a method to evaluate the brainʼs functional organization in brain tumors and epilepsy patients by directly stimulating it and observing the responses. Many publications have described the cortical organization of language in multilingual subjects : however, the localization patterns among the first, second, and even later languages seem to be diverse and complex. One of the reasons for this complexity is that language organization in multilingualism can be influenced by many factors, such as the age of languages acquisition, languages proficiency level, degree of exposure to each language, degree of language hemispheric lateralization, and localization and duration of the pathology. According to a recent systematic review, it is necessary to evaluate each language separately when performing resection of brain lesions since languages can demonstrate distinctive organization patterns depending on the factors mentioned above. Here, we present two multilingual patients who had awake surgery in which EMS has demonstrated common and specific areas for their languages. Also, some areas elicited language switching after stimulation. Interestingly, in one patient, a significant change in cortical language organization was observed at the time of reoperation, reflecting the process of brain plasticity in slowly growing glial tumor.
Author Fujii, Masazumi
Maesawa, Satoshi
Hiruta, Ryo
Kobayashi, Shunsuke
Futamura, Miyako
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  fullname: Kobayashi, Shunsuke
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  fullname: Hiruta, Ryo
  organization: Department of Neurosurgery, Fukushima Medical University
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Cites_doi 10.2496/hbfr.35.356
10.3171/2009.4.JNS081587
10.3390/brainsci10120983
10.1016/j.cortex.2017.10.017
10.3171/jns.2002.97.4.0857
10.1016/j.wneu.2019.01.153
10.1016/j.jneuroling.2011.08.002
10.1007/s00701-007-1266-2
10.1016/j.neuropsychologia.2014.07.011
10.3171/jns.2004.101.3.0449
10.1001/archneur.1978.00500310011002
10.1093/brain/awh204
10.1016/j.neuropsychologia.2013.09.003
10.3171/2016.5.JNS152791
10.1016/j.bandl.2006.11.009
10.1080/13554794.2012.701635
10.3389/fneur.2019.01235
10.1227/01.NEU.0000097270.95721.3B
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References_xml – reference: 17) Sierpowska, J., Fernandez-Coello, A., Gomez-Andres, A., et al.: Involvement of the middle frontal gyrus in language switching as revealed by electrical stimulation mapping and functional magnetic resonance imaging in bilingual brain tumor patients. Cortex, 99: 78-92, 2018.
– reference: 9 ) Lucas, 2nd. T. H., McKhann, 2nd. G. M. & Ojemann, G. A.: Functional separation of languages in the bilingual brain : a comparison of electrical stimulation language mapping in 25 bilingual patients and 117 monolingual control patients. J. Neurosurg., 101 (3) : 449-457, 2004.
– reference: 2 ) Fernández-Coello, A., Havas, V., Juncadella, M., et al.: Age of language acquisition and cortical language organization in multilingual patients undergoing awake brain mapping. J. Neurosurg., 126 (6) : 1912-1923, 2017.
– reference: 6 ) Jain, S., Chan, H. M., Yeo, T. T., et al.: Language mapping of Hindi and English in a bilingual patient during resection of a right frontal glioma. World Neurosurg., 125: 106-110, 2019.
– reference: 15) Roux, F. E., Lubrano, V., Lauwers-Cances, V., et al.: Intra-operative mapping of cortical areas involved in reading in mono-and bilingual patients. Brain, 127 (Pt 8) : 1796-1810, 2004.
– reference: 8 ) Lubrano, V., ProdʼHomme, K., Démonet, J. F., et al.: Language monitoring in multilingual patients undergoing awake craniotomy : a case study of a German-English-French trilingual patient with a WHO grade II glioma. J. Neurolinguist., 25 (6) : 567-578, 2012.
– reference: 20) Wang, X., Wang, Y. Y., Jiang, T., et al.: Direct evidence of the left caudateʼs role in bilingual control : an intra-operative electrical stimulation study. Neurocase, 19 (5) : 462-469, 2013.
– reference: 10) Moritz-Gasser, S. & Duffau, H.: Evidence of a large-scale network underlying language switching : a brain stimulation study. J. Neurosurg., 111 (4) : 729-732, 2009.
– reference: 1 ) Bartha-Doering, L. & Bonelli, S.: Epilepsy and bilingualism. a systematic review. Front. Neurol., 10: 1235, 2019.
– reference: 19) Walker, J. A., Quiñones-Hinojosa, A. & Berger, M. S.: Intraoperative speech mapping in 17 bilingual patients undergoing resection of a mass lesion. Neurosurgery, 54 (1) : 113-117, 2004.
– reference: 11) 日本 Awake Surgery 学会, 編 : Awake Surgery ガイドラ イン. 第 2 版, 東北大学出版会, 仙台, 2022.
– reference: 13) Połczyńska, M. M. & Bookheimer, S. Y.: Factors modifying the amount of neuroanatomical overlap between languages in bilinguals : a systematic review of neurosurgical language mapping studies. Brain Sci., 10 (12) : 983, 2020.
– reference: 3 ) 二村美也子, 古場伊津子, 前澤聡, ほか : 覚醒下開頭術中に二カ国語共通領域と一言語特異的領域が確認されたバイリンガルの一例. 高次脳機能研究, 35 (4) : 356-362, 2015.
– reference: 4 ) 二村美也子, 藤井正純, 前澤 聡 : マルチリンガルと電気刺激による言語機能マッピング. BRAIN and NERVE, 73 (3) : 247-255, 2021.
– reference: 16) Sierpowska, J., Gabarrós, A., Ripollés, P., et al.: Intraoperative electrical stimulation of language switching in two bilingual patients. Neuropsychologia, 51 (13) : 2882-2892, 2013.
– reference: 14) Roux, F. E. & Trémoulet, M.: Organization of language areas in bilingual patients : a cortical stimulation study. J. Neurosurg., 97 (4) : 857-864, 2002.
– reference: 18) Tomasino, B., Marin, D., Canderan, C., et al.: Involuntary switching into the native language induced by electrocortical stimulation of the superior temporal gyrus : a multimodal mapping study. Neuropsychologia., 62: 87-100, 2014.
– reference: 7 ) Kho, K. H., Duffau, H., Gatignol, P., et al.: Involuntary language switching in two bilingual patients during the Wada test and intraoperative electrocortical stimulation. Brain Lang., 101 (1) : 31-37, 2007.
– reference: 5 ) Giussani, C., Roux, F. E., Lubrano, V., et al.: Review of language organisation in bilingual patients : what can we learn from direct brain mapping ? Acta. Neurochir., 149 (11) : 1109-1116, 2007.
– reference: 12) Ojemann, G. A. & Whitaker, H. A.: The bilingual brain. Arch. Neurol., 35 (7) : 409-412, 1978.
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Snippet Electrical stimulation mapping (ESM) is a method to evaluate the brainʼs functional organization in brain tumors and epilepsy patients by directly stimulating...
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SubjectTerms awake surgery
common and specific areas
language mapping
language switching
multilingual
Title Electrical Stimulation Mapping of Language in Multilingualism
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