Language outcomes after resection of dominant inferior parietal lobule gliomas

OBJECTIVE The dominant inferior parietal lobule (IPL) contains cortical and subcortical regions essential for language. Although resection of IPL tumors could result in language deficits, little is known about the likelihood of postoperative language morbidity or the risk factors predisposing to this outcome. METHODS The authors retrospectively examined a series of patients who underwent resections of gliomas from the dominant IPL. Postoperative language outcomes were characterized across the patient population. To identify factors associated with postoperative language morbidity, the authors then compared features between those patients who experienced postoperative deficits and those who experienced no postoperative language dysfunction. RESULTS Twenty-four patients were identified for analysis. Long-term language deficits occurred in 29.2% of patients (7 of 24): 3 of these patients had experienced preoperative language deficits, whereas new long-term language deficits occurred in 4 patients (16.7%; 4 of 24). Of those patients who exhibited preoperative language deficits, 62.5% (5 of 8) experienced long-term resolution of their language deficits with surgical treatment. All patients underwent intraoperative brain mapping by direct electrical stimulation. Awake, intraoperative cortical language mapping was performed on 17 patients (70.8%). Positive cortical language sites were identified in 23.5% of these patients (4 of 17). Awake, intraoperative subcortical language mapping was performed in 8 patients (33.3%). Positive subcortical language sites were identified in 62.5% of these patients (5 of 8). Patients with positive cortical language sites exhibited a higher rate of long-term language deficits (3 of 4, 75%), compared with those who did not (1 of 13, 7.7%; p = 0.02). Although patients with positive subcortical language sites exhibited a higher rate of long-term language deficits than those who exhibited only negative sites (40.0% vs 0.0%, respectively), this difference was not statistically significant (p = 0.46). Additionally, patients with long-term language deficits were older than those without deficits (p < 0.05). CONCLUSIONS In a small number of patients with preoperative language deficits, IPL glioma resection resulted in improved language function. However, in patients with intact preoperative language function, resection of IPL gliomas may result in new language deficits, especially if the tumors are diffuse, high-grade lesions. Thus, language-dominant IPL glioma resection is not risk-free, yet it is safe and its morbidity can be reduced by the use of cortical and subcortical stimulation mapping

Animal population decline and recovery after severe fire : relating ecological and life history traits with expert estimates of population impacts from the Australian 2019-20 megafires

Catastrophic megafires can increase extinction risks; identifying species priorities for management and policy support is critical for preparing and responding to future fires. However, empirical data on population loss and recovery post-fire, especially megafire, are limited and taxonomically biased. These gaps could be bridged if species' morphological, behavioural, ecological and life history traits indicated their fire responses. Using expert elicitation that estimated population changes following the 2019–20 Australian megafires for 142 terrestrial and aquatic animal species (from every vertebrate class, one invertebrate group), we examined whether expert estimates of fire-related mortality, mortality in the year post-fire, and recovery trajectories over 10 years/three generations post-fire, were related to species traits. Expert estimates for fire-related mortality were lower for species that could potentially flee or shelter from fire, and that associated with fire-prone habitats. Post-fire mortality estimates were linked to diet, diet specialisation, home range size, and susceptibility to introduced herbivores that damage or compete for resources. Longer-term population recovery estimates were linked to diet/habitat specialisation, susceptibility to introduced species; species with slower life histories and shorter subadult dispersal distances also had lower recovery estimates. Across animal groups, experts estimated that recovery was poorest for species with pre-fire population decline and more threatened conservation status. Sustained management is likely needed to recover species with habitat and diet specialisations, slower life histories, pre-existing declines and threatened conservation statuses. This study shows that traits could help inform management priorities before and after future megafires, but further empirical data on animal fire response is essential