Evidence map›Paper›PMID 42633288›Full record

ArticleBrain & spine2026

Brain tumor surgery affecting the left frontal aslant tract and clinical outcome: a study of 23 glioma patients.

Danial Nasiri, Alberto Consuegra, Corina Wyss, Lena Hostettler, Claire Descombes, Jonathan Wermelinger, Andreas Raabe, Philippe Schucht, Kathleen Seidel

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Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Danial NasiriDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Alberto ConsuegraDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Corina WyssDepartment of Neurology and Neurorehabilitation, Speech Therapy Section, Inselspital, Bern University Hospital, Switzerland.
Lena HostettlerDepartment of Neurology and Neurorehabilitation, Speech Therapy Section, Inselspital, Bern University Hospital, Switzerland.
Claire DescombesDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Jonathan WermelingerDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Andreas RaabeDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Philippe SchuchtDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.
Kathleen SeidelDepartment of Neurosurgery, Inselspital, Bern University Hospital, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The frontal aslant tract (FAT) is associated with speech initiation, though its surgical relevance remains debated. The arcuate fasciculus (AF) is linked to phonological and semantic processing, with a well-established role for lasting outcomes. Research question: To investigate the impact of isolated and combined FAT and AF disruption on transient and lasting language deficits in glioma patients. Material and methods: We retrospectively analyzed 23 patients with non-contrast-enhancing IDH-mutant gliomas affecting the left FAT. Language was assessed pre-, intra-, and postoperatively. Awake speech mapping using Penfield stimulation was performed in 15 (65.2%) and neurophysiological monitoring under general anaesthesia in 8 patients. The FAT and AF were reconstructed by diffusion tensor imaging tractography, and tract integrity was classified as intact, partially disrupted, or fully disrupted. Postoperative and follow-up language deficits were correlated with the degree of tract disruption. Results: FAT disruption correlated with transient deficits (τ = 0.36, p = 0.059). AF involvement was associated with transient (τ= 0.30, p = 0.088) and persistent aphasia (τ = 0.53, p = 0.033). Combined FAT and AF damage was linked to an increased deficit of both immediate (τ = 0.44, p = 0.022) and lasting (τ = 0.49, p = 0.046) language outcomes. Discussion and conclusion: FAT injury contributes to transient aphasic symptoms, whereas AF disruption reflects persistent impairment. Concurrent FAT and AF involvement amplifies both short-term and lasting deficits, supporting a network-based approach to tract preservation in glioma surgery.

Indexed as

Arcuate fasciculusFiber trackingFrontal aslant tractLanguage networkLow grade gliomaPenfield mapping

Identifiers

PMID42633288
PMCPMC13499198

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.