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Spontaneous Speech

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Intraoperative Mapping of Cognitive Networks

Abstract

In this chapter the authors critically discuss the relevance of analyzing spontaneous speech in the peri-operative awake surgery phase of glioma patients. First a brief review of the neural basis is provided in order to shed light on the dissociation between spontaneous speech and other isolated language/speech functions, in the literature known as the “SMA syndrome” or “dynamic aphasia.” Subsequently, methods to assess (semi-)spontaneous speech intraoperatively are discussed, as well as their potential added value for long-term postoperative language outcome. Until now, adequate and sensitive assessment of spontaneous speech in clinical settings still remains a challenge as it is still not yet fully understood in what exact way glioma patients show impairments and suffer from it in the perioperative phase due to large individual variability. However three different approaches appeared to be essential in glioma treatment to elucidate the quality of daily language use: (1) actual transcription of spontaneous speech, (2) administration of semi-spontaneous speech tasks (e.g., sentence completion in broad context), and (3) self-reported language complaints. By only monitoring language functions in isolation, “subtle” yet devastating impairments could be missed, increasing the risk for long-term postoperative impairments with negative effects on daily life.

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Notes

  1. 1.

    The Dynamic Aphasia Test consists of sentence completion with word and constituents, sentence generation with a given word or sentence cue, picture description and spontaneous speech in daily situations based on Bloom and Fischler [55], Blomert et al. [56] and Robinson et al. [13].

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Authors and Affiliations

  1. Department of Neurosurgery, Erasmus MC—University Medical Center Rotterdam, Rotterdam, The Netherlands

    Djaina Satoer & Elke De Witte

  2. Center for Language and Brain, National Research University Higher School of Economics, Moscow, Russia

    Olga Dragoy

Authors
  1. Djaina Satoer
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  2. Elke De Witte
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  3. Olga Dragoy
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Correspondence to Djaina Satoer .

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Editors and Affiliations

  1. Department of Neurosurgery, Lariboisière Hospital, Paris Brain Institute (ICM) and Paris University, Paris, France

    Emmanuel Mandonnet

  2. Department of Neurosurgery, Gui de Chauliac Hospital, Montpellier & Institute of Functional Genomics, University of Montpellier, INSERM, CNRS, Montpellier, France

    Guillaume Herbet

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Satoer, D., De Witte, E., Dragoy, O. (2021). Spontaneous Speech. In: Mandonnet, E., Herbet, G. (eds) Intraoperative Mapping of Cognitive Networks. Springer, Cham. https://doi.org/10.1007/978-3-030-75071-8_6

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