Patients with Barriers of Communication

Subcortical language localization using sign language and awake craniotomy for dominant posterior temporal glioma resection in a hearing-impaired patient

“…We corroborated that the sign language followed the same pattern as the spoken language, as we identified the same type of error in the same areas for both types of expression. This suggests a similar phonological organization in deaf patients fluent in sign language [ 6 , 10 , 11 , 13 ]. In addition, the postoperative edema adjacent to the cavity resection, involving the IFOF and the AF, contributed to similar transient paraphasias for both ASL and spoken language following surgery, which recapitulates the proximity of spoken and gestural language centers.…”

“…The feasibility of performing awake DCS with sign language for glioma resection in deaf-mute signers has been previously reported [ 3 , 11 , 13 ] and recommended [ 6 ] in the literature. In these cases, patients were able to communicate only with sign language and demonstrated a similar distribution between speech production and speech processing pathways in deaf and non-deaf patients[ 11 , 13 ].…”

“…One such application of intraoperative DCS is to maximize resection in lesions associated with critical language regions. However, few cases have been reported using awake mapping techniques for language centers in deaf patients [ 6 ]. To our knowledge, there are two cases reported of DCS in a native prelingual deaf-mute signer [ 13 ] and one case in a post-lingual deaf-mute signer [ 3 , 11 ].…”