Language Mapping with Verbs and Sentences in Awake Surgery: A Review

Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb a...

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Published inNeuropsychology review Vol. 24; no. 2; pp. 185 - 199
Main Authors Rofes, Adrià, Miceli, Gabriele
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.06.2014
Springer Nature B.V
Subjects
Biomedical and Life Sciences
Biomedicine
Brain - physiopathology
Brain - surgery
Brain cancer
Brain Diseases - physiopathology
Brain Diseases - surgery
Electric Stimulation
Epilepsy
Humans
Language
Linguistics
Neurology
Neuropsychological Tests
Neuropsychology
Neurosciences
Neurosurgical Procedures - methods
Patients
Quality of life
Review
Surgery
Tumors
Wakefulness
Awake surgery
Sentence processing tasks
Review
Language mapping
Verb processing tasks
Online AccessGet full text
ISSN1040-7308
1573-6660
1573-6660
DOI10.1007/s11065-014-9258-5

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Abstract Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb and sentence processing tasks are currently used during surgery, albeit sparsely. Medline, PubMed, and Web of Science records were searched to retrieve studies focused on language mapping with verbs/sentences in awake surgery. We review the tasks reported in the published literature, spell out the language processes assessed by each task, list the cortical and subcortical regions whose stimulation inhibited language processing, and consider the types of errors elicited by stimulation in each region. We argue that using verb tasks allows a more thorough evaluation of language functions. We also argue that verb tasks are preferable to object naming tasks in the case of frontal lesions, as lesion and neuroimaging data demonstrate that these regions play a critical role in verb and sentence processing. We discuss the clinical value of these tasks and the current limitations of the procedure, and provide some guidelines for their development. Future research should aim toward a differentiated approach to language mapping – one that includes the administration of standardized and customizable tests and the use of longitudinal neurocognitive follow-up studies. Further work will allow researchers and clinicians to understand brain and language correlates and to improve the current surgical practice.
AbstractList Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb and sentence processing tasks are currently used during surgery, albeit sparsely. Medline, PubMed, and Web of Science records were searched to retrieve studies focused on language mapping with verbs/sentences in awake surgery. We review the tasks reported in the published literature, spell out the language processes assessed by each task, list the cortical and subcortical regions whose stimulation inhibited language processing, and consider the types of errors elicited by stimulation in each region. We argue that using verb tasks allows a more thorough evaluation of language functions. We also argue that verb tasks are preferable to object naming tasks in the case of frontal lesions, as lesion and neuroimaging data demonstrate that these regions play a critical role in verb and sentence processing. We discuss the clinical value of these tasks and the current limitations of the procedure, and provide some guidelines for their development. Future research should aim toward a differentiated approach to language mapping - one that includes the administration of standardized and customizable tests and the use of longitudinal neurocognitive follow-up studies. Further work will allow researchers and clinicians to understand brain and language correlates and to improve the current surgical practice.Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb and sentence processing tasks are currently used during surgery, albeit sparsely. Medline, PubMed, and Web of Science records were searched to retrieve studies focused on language mapping with verbs/sentences in awake surgery. We review the tasks reported in the published literature, spell out the language processes assessed by each task, list the cortical and subcortical regions whose stimulation inhibited language processing, and consider the types of errors elicited by stimulation in each region. We argue that using verb tasks allows a more thorough evaluation of language functions. We also argue that verb tasks are preferable to object naming tasks in the case of frontal lesions, as lesion and neuroimaging data demonstrate that these regions play a critical role in verb and sentence processing. We discuss the clinical value of these tasks and the current limitations of the procedure, and provide some guidelines for their development. Future research should aim toward a differentiated approach to language mapping - one that includes the administration of standardized and customizable tests and the use of longitudinal neurocognitive follow-up studies. Further work will allow researchers and clinicians to understand brain and language correlates and to improve the current surgical practice.
Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb and sentence processing tasks are currently used during surgery, albeit sparsely. Medline, PubMed, and Web of Science records were searched to retrieve studies focused on language mapping with verbs/sentences in awake surgery. We review the tasks reported in the published literature, spell out the language processes assessed by each task, list the cortical and subcortical regions whose stimulation inhibited language processing, and consider the types of errors elicited by stimulation in each region. We argue that using verb tasks allows a more thorough evaluation of language functions. We also argue that verb tasks are preferable to object naming tasks in the case of frontal lesions, as lesion and neuroimaging data demonstrate that these regions play a critical role in verb and sentence processing. We discuss the clinical value of these tasks and the current limitations of the procedure, and provide some guidelines for their development. Future research should aim toward a differentiated approach to language mapping - one that includes the administration of standardized and customizable tests and the use of longitudinal neurocognitive follow-up studies. Further work will allow researchers and clinicians to understand brain and language correlates and to improve the current surgical practice.
Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks might not map language with sufficient accuracy, as some linguistic processes can only be triggered by tasks that use verbs and sentences. Verb and sentence processing tasks are currently used during surgery, albeit sparsely. Medline, PubMed, and Web of Science records were searched to retrieve studies focused on language mapping with verbs/sentences in awake surgery. We review the tasks reported in the published literature, spell out the language processes assessed by each task, list the cortical and subcortical regions whose stimulation inhibited language processing, and consider the types of errors elicited by stimulation in each region. We argue that using verb tasks allows a more thorough evaluation of language functions. We also argue that verb tasks are preferable to object naming tasks in the case of frontal lesions, as lesion and neuroimaging data demonstrate that these regions play a critical role in verb and sentence processing. We discuss the clinical value of these tasks and the current limitations of the procedure, and provide some guidelines for their development. Future research should aim toward a differentiated approach to language mapping - one that includes the administration of standardized and customizable tests and the use of longitudinal neurocognitive follow-up studies. Further work will allow researchers and clinicians to understand brain and language correlates and to improve the current surgical practice.[PUBLICATION ABSTRACT]
Author Rofes, Adrià
Miceli, Gabriele
Author_xml – sequence: 1
  givenname: Adrià
  surname: Rofes
  fullname: Rofes, Adrià
  organization: Center for Neurocognitive Rehabilitation (CeRiN) and Center for Mind/Brain Sciences (CIMeC), University of Trento, International Doctorate for Experimental Approaches to Language and Brain (IDEALAB), University of Trento
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  givenname: Gabriele
  surname: Miceli
  fullname: Miceli, Gabriele
  email: gabriele.miceli@unitn.it
  organization: Center for Neurocognitive Rehabilitation (CeRiN) and Center for Mind/Brain Sciences (CIMeC), University of Trento, International Doctorate for Experimental Approaches to Language and Brain (IDEALAB), University of Trento
BackLink https://www.ncbi.nlm.nih.gov/pubmed/24736866$$D View this record in MEDLINE/PubMed
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Thu Apr 24 22:54:40 EDT 2025
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Issue 2
Keywords Awake surgery
Sentence processing tasks
Review
Language mapping
Verb processing tasks
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Snippet Intraoperative language mapping in awake surgery is typically conducted by asking the patient to produce automatic speech and to name objects. These tasks...
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SubjectTerms Biomedical and Life Sciences
Biomedicine
Brain - physiopathology
Brain - surgery
Brain cancer
Brain Diseases - physiopathology
Brain Diseases - surgery
Electric Stimulation
Epilepsy
Humans
Language
Linguistics
Neurology
Neuropsychological Tests
Neuropsychology
Neurosciences
Neurosurgical Procedures - methods
Patients
Quality of life
Review
Surgery
Tumors
Wakefulness
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Title Language Mapping with Verbs and Sentences in Awake Surgery: A Review
URI https://link.springer.com/article/10.1007/s11065-014-9258-5
https://www.ncbi.nlm.nih.gov/pubmed/24736866
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Volume 24
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