Department of Medicine, University of Thessaly, Larisa, Greece.
Department of Neurosurgery, University Hospital of Larisa, Larisa, Greece.
Neuropsychol Rev. 2022 Mar;32(1):20-50. doi: 10.1007/s11065-021-09492-6. Epub 2021 Mar 31.
Assessment of speech and language functions is an essential part of awake craniotomies. Although standardized and validated tests have several advantages compared to homemade (or mixed) batteries, in the literature it is unclear how such tests are used or whether they are used at all. In this study, we performed a scoping review in order to locate standardized and validated intraoperative language tests. Our inquiry included two databases (PubMED and MEDLINE), gray literature, and snowball referencing. We discovered 87 studies reporting use of mixed batteries, which consist of homemade tasks and tests borrowed from other settings. The tests we found to meet the validation and standardization criteria we set were ultimately three (n = 3) and each one has its own advantages and disadvantages. We argue that tests with high sensitivity and specificity not only can lead to better outcomes postoperatively, but they can also help us to gain a better understanding of the neuroanatomy of language.
评估言语和语言功能是清醒开颅术的重要组成部分。虽然与自制（或混合）电池相比，标准化和验证过的测试具有许多优势，但在文献中尚不清楚如何使用这些测试，或者是否根本没有使用。在这项研究中，我们进行了范围性审查，以确定标准化和验证过的术中语言测试。我们的查询包括两个数据库（PubMed 和 MEDLINE）、灰色文献和滚雪球引用。我们发现 87 项研究报告了混合电池的使用情况，这些电池由自制任务和从其他环境中借用的测试组成。我们发现符合我们设定的验证和标准化标准的测试最终有三个（n = 3），每个测试都有其自身的优点和缺点。我们认为，具有高灵敏度和特异性的测试不仅可以导致术后更好的结果，而且还可以帮助我们更好地了解语言的神经解剖学。
