Language Mapping with Verbs and Sentences in Awake Surgery: A Review
Language Mapping with Verbs and Sentences in Awake Surgery: A Review
复制标题
清醒手术中动词和句子的语言映射：综述
作者：
A. Rofes;G. Miceli
清醒手术的术中语言映射通常是通过要求患者产生自动语音和命名对象来进行的。这些任务可能不能足够准确地映射语言，因为某些语言过程只能由使用动词和句子的任务触发。动词和句子处理任务目前在手术中使用，尽管很少使用。检索Medline、PubMed和Web of Science的记录，检索关于清醒手术中动词/句子的语言映射的研究。我们回顾了已发表的文献中报道的任务，详细说明了每个任务评估的语言过程，列出了刺激抑制语言加工的皮层和皮质下区域，并考虑了每个区域由刺激引起的错误类型。我们认为，使用动词任务可以更全面地评估语言功能。我们还认为，在额叶损伤的情况下，动词任务比对象命名任务更可取，因为病变和神经成像数据表明，这些区域在动词和句子加工中发挥着关键作用。我们讨论了这些任务的临床价值和目前该程序的局限性，并为其发展提供了一些指导方针。未来的研究应该着眼于语言映射的差异化方法-包括管理标准化和可定制的测试，以及使用纵向神经认知后续研究。进一步的工作将使研究人员和临床医生能够了解大脑和语言的相关性，并改进目前的外科实践。
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.
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影响因子：
14.5
作者：
Hamberger, MJ;Seidel, WT;Goodman, RR
通讯作者：
Goodman, RR
DOI：
10.1073/pnas.90.11.4957
发表时间：
1993-06-01
影响因子：
11.1
作者：
DAMASIO, AR;TRANEL, D
通讯作者：
TRANEL, D
语言在皮层中的位置：功能性磁共振成像和皮层电刺激之间的比较。
DOI：
--
发表时间：
1997
期刊：
AJNR. American journal of neuroradiology
影响因子：
--
作者：
FitzGerald,DB;Cosgrove,GR;Ronner,S;Jiang,H;Buchbinder,BR;Belliveau,JW;Rosen,BR;Benson,RR
通讯作者：
Benson,RR
影响因子：
14.5
作者：
Federmeier, KD;Segal, JB;Kutas, M
通讯作者：
Kutas, M
影响因子：
4.1
作者：
OJEMANN, G;OJEMANN, J;BERGER, M
通讯作者：
BERGER, M