Awake craniotomy and language assessment in deaf patients: a systematic review of feasibility, communication strategies, and outcomes - Takeaways - MDSpire

Awake craniotomy and language assessment in deaf patients: a systematic review of feasibility, communication strategies, and outcomes

  • By

  • Mohammad Mofatteh

  • Mohammad Sadegh Mashayekhi

  • Keyoumars Ashkan

  • April 11, 2026

  • 0 min

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  • 1

    Awake craniotomy (AC) is crucial for resecting brain lesions while minimizing neurological deficits through real-time functional assessment.

  • 2

    Effective communication between patients and surgical teams is essential for successful AC, particularly for assessing language and motor functions.

  • 3

    Hearing impairment complicates AC due to challenges in auditory perception and reliance on non-verbal communication strategies.

  • 4

    Sign languages are complex natural languages that engage distinct neural networks, posing unique challenges during intraoperative mapping.

  • 5

    Current literature on AC in hearing-impaired patients is limited, highlighting the need for further research to address safety and communication strategies.

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