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Acta Neurochirurgica

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01-04-2013 | Clinical Article - Brain Tumors

Spontaneous speech of patients with gliomas in eloquent areas before and early after surgery

Authors: Djaina Satoer, Arnaud Vincent, Marion Smits, Clemens Dirven, Evy Visch-Brink

Published in: Acta Neurochirurgica | Issue 4/2013

Abstract

Background

Glioma patients often complain about problems in daily conversation. A detailed spontaneous speech analysis could provide more insight in these communicative problems; no previous studies are reported.

Objective

To select sensitive parameters in spontaneous speech pre- and post-operatively in patients with gliomas in eloquent areas.

Methods

We included 27 patients and 21 healthy controls. In addition to a naming and category fluency test, spontaneous speech was collected 1 month pre-operatively and 3 months post-operatively, and analysed with the variables: Self-corrections, Repetitions, Lexical Diversity, Incomplete Sentences and Mean Length of Utterance (MLUw). A correlation analysis was performed between the linguistic variables and tumour characteristics (grade, localisation and volume), treatment related factors, and between the linguistic variables and the language tasks.

Results

Pre-operatively, patients produced more Incomplete Sentences than the controls (p < 0.001). Post-operatively, patients’ utterance length (MLUw) (p < 0.05) was also deviant. The quality of the spontaneous speech was influenced by tumour grade and localisation. There was no influence of tumour volume or treatment-related factors. Pre- and post-operatively, patients’ performance on the naming and the fluency task deviated from normal (p < 0.001). The majority of the linguistic variables did not correlate with the language tasks, pointing to a measurement of distinct linguistic aspects.

Conclusion

Pre- and post-operatively there was a disorder in naming, category fluency and spontaneous speech, partly influenced by tumour characteristics. A spontaneous speech analysis appeared to be a valuable addition to standardised language tasks. Both measurements are important tools to obtain a complete linguistic profile.

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Title: Spontaneous speech of patients with gliomas in eloquent areas before and early after surgery
Authors: Djaina Satoer
Arnaud Vincent
Marion Smits
Clemens Dirven
Evy Visch-Brink
Publication date: 01-04-2013
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 4/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-013-1638-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Spontaneous speech of patients with gliomas in eloquent areas before and early after surgery

Abstract

Background

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusion

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