{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:06:59Z","timestamp":1785337619658,"version":"3.55.0"},"reference-count":20,"publisher":"Media Sphere Publishing House","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Burdenko's Journal of Neurosurgery"],"published-print":{"date-parts":[[2025,11,27]]},"abstract":"<jats:p>Background. There are some unresolved issues in surgery for gliomas of Broca\u2019s area (optimal intraoperative testing, cortical mapping, and stimulation parameters). Objective. To clarify the peculiarities of neurosurgical technique and speech testing in surgery for gliomas of Broca\u2019s area. Material and methods. A single-center cohort retrospective study was devoted to surgical treatment of patients with Broca\u2019s area gliomas in 2014\u20142023. Speech function was evaluated preoperatively, 7 days and 6 months after surgery. The Russian intraoperative naming test was used to assess speech production and understanding. Speech disorders were categorized as normal (2.1 to 3 points), moderate (1.1 to 2 points), and severe (0 to 1 point). Final analysis included 47 patients. Results. Total resection was performed in 27 (58%) patients, near-total \u2014 7 (15%), subtotal \u2014 4 (8%), partial \u2014 in 9 (19%) cases. Mean resection rate was 92%. At baseline, there were 9 (19%) patients with aphasia (severe \u2014 2 (4%), moderate \u2014 7 (15%) patients). In 7 days after surgery, 31 (66%) ones had speech disorders (severe \u2014 12 (24%), moderate \u2014 19 (40%) cases). In 6 months after surgery, aphasia persisted in 10 (21%) patients (severe \u2014 3 (6%), moderate \u2014 7 (15%) cases). Conclusion. Broca\u2019s area gliomas do not require craniotomy larger than tumor projection size and \u00abpositive\u00bb mapping of all visible cortical areas, except for those regions where encephalotomy is planned (\u00abnegative\u00bb mapping). When assessing the risks of persistent speech disorders, one should take into account such factors as tumor malignancy grade, baseline speech disorders, the need for mapping of motor areas, spread of tumor from Broca\u2019s area to parietal lobe and subcortical nuclei. For more accurate determination of cortical speech zones in Broca\u2019s area, testing should include naming of actions.<\/jats:p>","DOI":"10.17116\/neiro20258906138","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T17:15:27Z","timestamp":1764263727000},"page":"38","source":"Crossref","is-referenced-by-count":0,"title":["Surgery for gliomas of Broca\u2019s area"],"prefix":"10.17116","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4578-2205","authenticated-orcid":false,"given":"A.V.","family":"Dimertsev","sequence":"first","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5526-2939","authenticated-orcid":false,"given":"Yu.V.","family":"Batmanova","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.V.","family":"Zhikhar","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2713-5904","authenticated-orcid":false,"given":"N.V.","family":"Pedyash","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8107-3065","authenticated-orcid":false,"given":"I.M.","family":"Alekseev","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6777-5164","authenticated-orcid":false,"given":"O.V.","family":"Dragoy","sequence":"additional","affiliation":[{"name":"National Research University Higher School of Economics","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1784-9540","authenticated-orcid":false,"given":"B.A.","family":"Teplykh","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2974-1462","authenticated-orcid":false,"given":"A.A.","family":"Zuev","sequence":"additional","affiliation":[{"name":"Pirogov National Medical Surgical Center","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6743","reference":[{"key":"key-10.17116\/neiro20258906138-1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.14960"},{"key":"key-10.17116\/neiro20258906138-2","doi-asserted-by":"publisher","DOI":"10.17650\/1683-3295-2022-24-2-105-112"},{"key":"key-10.17116\/neiro20258906138-3","doi-asserted-by":"publisher","DOI":"10.47010\/16.4.1"},{"key":"key-10.17116\/neiro20258906138-4","doi-asserted-by":"publisher","DOI":"10.30982\/2077"},{"key":"key-10.17116\/neiro20258906138-5","doi-asserted-by":"publisher","DOI":"10.3171\/2009.12.FOCUS09266"},{"key":"key-10.17116\/neiro20258906138-6","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2003.10.020"},{"key":"key-10.17116\/neiro20258906138-7","doi-asserted-by":"publisher","DOI":"10.17116\/jnevro2021121071118"},{"key":"key-10.17116\/neiro20258906138-8","doi-asserted-by":"publisher","DOI":"10.24835\/10.24835\/1607-0763-1094"},{"key":"key-10.17116\/neiro20258906138-9","doi-asserted-by":"publisher","DOI":"10.17116\/neiro20208401133"},{"key":"key-10.17116\/neiro20258906138-10","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000001291"},{"key":"key-10.17116\/neiro20258906138-11","doi-asserted-by":"publisher","DOI":"10.17513\/spno.30597"},{"key":"key-10.17116\/neiro20258906138-12","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-020-01397-x"},{"key":"key-10.17116\/neiro20258906138-13","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2020.09.001"},{"key":"key-10.17116\/neiro20258906138-14","unstructured":"Subbotina OP, Tyurin RV, Peskov VA, Aliev GM. Application of intraoperative neurophysiological monitoring and neuronavigation in patients with tumors of the motor areas of the brain. Russian Neurosurgical Journal named after Professor A.L. Polenov. 2022;14(S1):186. (In Russ.)"},{"key":"key-10.17116\/neiro20258906138-15","doi-asserted-by":"publisher","DOI":"10.17650\/1683-3295-2023-25-1-53-61"},{"key":"key-10.17116\/neiro20258906138-16","doi-asserted-by":"publisher","DOI":"10.17116\/neiro20208406149"},{"key":"key-10.17116\/neiro20258906138-17","unstructured":"Marchina S, Zhu LL, Norton A, Zipse L, Wan CY, Schlaug G. The degree of damage to the left arcuate fasciculus is a predictor of the development of speech disorders. Journal of the National Association for Stroke Prevention. 2011;3(23):22-28. (In Russ.)"},{"key":"key-10.17116\/neiro20258906138-18","unstructured":"Freyschlag CF, Duffau H. Awake brain mapping of cortex and subcortical pathways in brain tumor surgery. Journal of Neurosurgical Sciences. 2014;58(4):199-213"},{"key":"key-10.17116\/neiro20258906138-19","doi-asserted-by":"publisher","DOI":"10.17116\/neiro20218504129"},{"key":"key-10.17116\/neiro20258906138-20","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-23705-8_1"}],"container-title":["Burdenko's Journal of Neurosurgery"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T14:25:11Z","timestamp":1785335111000},"score":1,"resource":{"primary":{"URL":"https:\/\/mediasphera.ru\/issues\/zhurnal-voprosy-nejrokhirurgii-imeni-n-n-burdenko\/2025\/6\/1004288172025061038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,27]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11,27]]}},"alternative-id":["10.17116\/neiro20258906138"],"URL":"https:\/\/doi.org\/10.17116\/neiro20258906138","relation":{},"ISSN":["0042-8817"],"issn-type":[{"value":"0042-8817","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,27]]}}}