Prolonged Transcortical Mixed Aphasia Following Awake Glioma Resection: Functional Language Network Disruption Associated with Persistent Epileptiform Activity

Aphasia occurring after tumor resection in the language-dominant hemisphere is commonly interpreted as a consequence of irreversible structural injury. In awake craniotomy, intraoperative language mapping enables real-time functional monitoring and is expected to reduce the risk of postoperative aphasia. However, postoperative language impairment is not always attributable to structural damage alone, and functional network disturbances may also contribute.

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Journal
NMC Case Report Journal
Published
2026-09-16
DOI
https://doi.org/10.2176/jns-nmc.2026-0122
Primary Topic
Neurobiology of Language and Bilingualism
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article
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article

Prolonged Transcortical Mixed Aphasia Following Awake Glioma Resection: Functional Language Network Disruption Associated with Persistent Epileptiform Activity

Ayumi Sakata, Kazuhisa Kuwabara, Masako Fujise, Koji Yoshimoto et al.
NMC Case Report Journal
Neurobiology of Language and Bilingualism
article

Prolonged Transcortical Mixed Aphasia Following Awake Glioma Resection: Functional Language Network Disruption Associated with Persistent Epileptiform Activity

Ayumi Sakata, Kazuhisa Kuwabara, Masako Fujise, Koji Yoshimoto, Nobutaka Mukae, Yutaka Fujioka, Ryusuke Hatae, Hiroshi Shigeto, Eriko Watanabe, Masayuki Yanagida, Minako Kawaguchi, Taisei YAMADA
article en

Abstract

Aphasia occurring after tumor resection in the language-dominant hemisphere is commonly interpreted as a consequence of irreversible structural injury. In awake craniotomy, intraoperative language mapping enables real-time functional monitoring and is expected to reduce the risk of postoperative aphasia. However, postoperative language impairment is not always attributable to structural damage alone, and functional network disturbances may also contribute.

NMC Case Report JournalVol. 13(0)
Kyushu University (JP), Kyushu University Hospital (JP), Department of Medical Sciences (BY)
Quality Education
Openalex Percentile: Top 9%
Neurobiology of Language and Bilingualism
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Prolonged Transcortical Mixed Aphasia Following Awake Glioma Resection: Functional Language Network Disruption Associated with Persistent Epileptiform Activity — Ayumi Sakata, Kazuhisa Kuwabara, et al. · NMC Case Report Journal (2026) | TGRS Research Map | TGRS