Outcomes of awake craniotomy in bilingual and monolingual patients

Takeaway

  • Bilingual (BL) people who undergo awake craniotomy have fewer intra-operative seizures, tolerate higher direct electro-cortical stimulation, and greater functional improvement compared with monolingual (ML) patients.

Why this matters

  • In those undergoing brain resection, careful mapping must be undertaken to maximize outcomes and preservation of function.

  • Bilingualism and age of acquisition (AoA) of the second language impact the structural organization of the brain; however, the degree of spatial overlap between functional language areas of bilinguals is debated.