The Dutch Linguistic Intraoperative Protocol: a valid linguistic approach to awake brain surgery.

Abstract:

:Intraoperative direct electrical stimulation (DES) is increasingly used in patients operated on for tumours in eloquent areas. Although a positive impact of DES on postoperative linguistic outcome is generally advocated, information about the neurolinguistic methods applied in awake surgery is scarce. We developed for the first time a standardised Dutch linguistic test battery (measuring phonology, semantics, syntax) to reliably identify the critical language zones in detail. A normative study was carried out in a control group of 250 native Dutch-speaking healthy adults. In addition, the clinical application of the Dutch Linguistic Intraoperative Protocol (DuLIP) was demonstrated by means of anatomo-functional models and five case studies. A set of DuLIP tests was selected for each patient depending on the tumour location and degree of linguistic impairment. DuLIP is a valid test battery for pre-, intraoperative and postoperative language testing and facilitates intraoperative mapping of eloquent language regions that are variably located.

journal_name

Brain Lang

journal_title

Brain and language

authors

De Witte E,Satoer D,Robert E,Colle H,Verheyen S,Visch-Brink E,Mariën P

doi

10.1016/j.bandl.2014.10.011

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

35-48

eissn

0093-934X

issn

1090-2155

pii

S0093-934X(14)00156-4

journal_volume

140

pub_type

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