Department of Neurological Surgery, University of California, San Francisco, San Francisco, California.
Neurosurgery. 2021 Aug 16;89(3):331-342. doi: 10.1093/neuros/nyaa436.
Since the early descriptions of language function based on observations of patients with language deficits by Broca and Wernicke, neurosurgeons have been focused on characterizing the anatomic regions necessary for language perception and production, and preserving these structures during surgery to minimize patient deficits post operatively. In this supplementary issue on awake intraoperative mapping, we review language processing across multiple domains, highlighting key advances in direct electrical stimulation of different cortical and subcortical regions involved in naming, repetition, reading, writing, and syntax. We then discuss different intraoperative tasks for assessing the function of a given area and avoiding injury to critical, eloquent regions.
自布罗卡(Broca)和韦尼克(Wernicke)对语言障碍患者的观察所奠定的语言功能早期描述以来,神经外科医生一直专注于描述语言感知和产生所需的解剖区域,并在手术过程中保护这些结构,以最大程度地减少术后患者的缺陷。在本期关于清醒术中映射的增刊中,我们回顾了多个领域的语言处理,重点介绍了直接电刺激在命名、重复、阅读、书写和语法等不同皮质和皮质下区域中的关键进展。然后,我们讨论了用于评估特定区域功能和避免损伤关键语言区域的不同术中任务。