Neurosurgeon Questions Speech problems

Can a brain surgery cause speech defects?

Since my brother's brain surgery, he has had speech problem. He has always been okay before this. Could the surgery have caused this to happen? Can it be corrected?

9 Answers

It depends. If the surgery involved one of the speech areas of the brain, then yes it could have. Without knowing what surgery he had, and what it was done for, and where the surgery was in his brain, I can't really answer whether it can be corrected or not.
It is possible surgery has caused speech problems. This usually improves but may require speech therapy for several weeks.
Surgery near speech areas of the brain could result in speech problems due to manipulation of the brain in removing the tumor, or due to a stroke. Clearly, the surgeon would be trying to prevent these problems, but they are known to occur. The answer as to whether is can be treated, or will recover would require knowing more about his scans and his surgery. I would recommend follow up with his surgeon, and if you are not satisfied, a second opinion.
Yes, if near dominant brain speech area.
Yes, brain surgery can cause speech defects. There are two definite speech areas in the brain usually located on the left side of the brain, except in some left-handed people, where the speech centers are on the right side. If the defect is present right, after surgery, it often will subside but it may take 12-18 months to do so. Speech therapy may be helpful to overcome the defect.
If the brain operation was performed at the area of the brain that controls speech and language, this function can be affected. Please discuss with the surgeon.
I would imagine he is R handed and this was surgery upon the left side of the brain. If he did not have the problem before and did after, it is obviously a complication. Would recommend intensive speech therapy.
There are specific areas in the brain needed for speech (usually on the left side of the brain in right handlers and also on the left in most left handlers but with a higher chance of some speech on the right). There are classic areas known to be involved in speech but some of these vary from person to person, so if we are concerned about speech function, we can do a wake-up during surgery to test for speech and avoid messing with speech areas. Speech mapping has been done since the 1920s and 1930s but came into more widespread use in the 1990s.
There is no way to replace brain areas of damaged but time and speech therapy usually helps considerably.
Depending on the location, size, and type of tumor. It’s possible, but speech therapy usually helps post-operatively.

Hope that helps!