Cited by 331Functional Brain Connectivity StudiesAdvanced Neuroimaging Techniques and ApplicationsGlioma Diagnosis and Treatment

The huge plastic potential of adult brain and the role of connectomics: new insights provided by serial mappings in glioma surgery

Duffau, Hugues·2014·Cortex

Abstract

While prominent in the traditional literature, the localizationist and static view of brain processing does not explain numerous observations of functional recovery following cerebral damages. Here, the goal is to revisit this classical modular and inflexible model by proposing a dynamic organization of brain circuits, which allows postlesional cerebral adaptative phenomena able to maintain neurological and cognitive functions, even in adults. In this state of mind, recent data provided by serial mappings performed in patients who underwent awake surgery for diffuse glioma infiltrating eloquent structures will be reviewed. Firstly, the use of intraoperative electrical mapping enables the realization of on-line anatomo-functional correlations both at cortical and subcortical levels, supporting a network distribution of the brain, and resulting in the reappraisal of cognitive models - notably regarding language. Secondly, combination of neuropsychological assessments and functional neuroimaging before and after operation demonstrates that it is possible to achieve massive resections of "critical" regions without eliciting permanent sequelae, thanks to reorganization of cerebral circuits. Thirdly, repeated surgeries in cases of tumor relapse show functional remapping in the same patients over time. Taken together, these findings open the window toward a huge plastic potential of human central nervous system (CNS) in adults. However, a better understanding of cerebral connectomics leads to the conclusion that the white matter connectivity constitutes a main limitation of such brain plasticity, explaining the lack of recovery in patients with extensive subcortical damages.

Integrity signals

Registry

Crossref · 10.1016/j.cortex.2013.08.005

Cites

103 of 103 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The association between persistent speech production impairments and white matter damage aligns with prior evidence suggesting that white matter damage poses a major constraint on brain plasticity.

    “The association between persistent speech production impairments and white matter damage aligns well with prior evidence suggesting that white matter damage poses a major constraint on brain plasticity (Duffau, 2014; Herbet et al., 2016; Griffis et al., 2019).”

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Duffau, H.
Affiliations
Inserm (FR)
Corresponding author
Duffau, Hugues
Venue
Cortex
Publisher
Elsevier BV
Published
2014-09
Volume
58
Pages
325-337
ISSN
0010-9452 (ISSN-L)
OpenAlex
W2065442514
Cited by
331
References
103
Citations by year
2026: 24 · 2025: 22 · 2024: 10 · 2023: 24 · 2022: 32 · 2021: 28 · 2020: 31 · 2019: 20 · 2018: 29 · 2017: 40 · 2016: 23 · 2015: 22 · 2014: 24 · 2013: 2
FWCI
2.01
Type
journal article
Language
en
Open access
closed
Locations
  • Cortex (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
  • Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
Keywords
neuroplasticity, glioma surgery, connectomics, functional reorganization, language lateralization, white matter connectivity, eloquent brain areas, tumor recurrence, subcortical lesions
MeSH terms
Brain, Brain Mapping, Brain Neoplasms, Glioma, Humans, Nerve Net, Neural Pathways, Neurosurgical Procedures, Connectome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review