When translational work meets academic circles: Our impressions from the world’s leading conference on bilingualism  

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Earlier this month, a few members of the BLB Lab flew to Spain for the International Symposium on Bilingualism (ISB15). Anna, Sonia and Lydia were honoured to join forces with Anna Gasa Roqué, their collaborator from the Bellvitge University Hospital in Barcelona, and present a four-part symposium entitled “The unexplored power of translational research: Applying insights from awake brain surgery to our current understanding of the bilingual mind”.

To give you some context, ISB15 is a biennal conference that has grown to be the most significant event in the field of bilingualism. This year it focused on multidisciplinary research output from a range of fields, including linguistics, neuroscience, and psychology, which lie at the core of the BLB Lab research. What’s more, the conference took place in beautiful Donostia-San Sebastián, at the heart of the Spanish Basque Country, where the bilingual heritage is alive across all aspects of society.  

The symposium presenters: Anna Piasecki, Anna Gasa Roqué, Sonia Mariotti and Lydia Wiernik.

The BLB-organised symposium on translational research offered a deep dive into the fascinating world of intraoperative language testing and management of bilingual brain tumour patients. Designed to guide attendees through this complex field, the symposium began with Anna Piasecki providing a comprehensive introduction to the procedure and laying the groundwork with essential concepts and terminology. From there, the presentations gradually zoomed in, taking the audience on a journey that span from bilingualism’s role in shaping the brain to the challenges of preserving language skills of bilingual patients.

After the introduction, Anna Gasa-Roqué explored the effects of bilingualism in brain tumour patients, showing how being bilingual changes both the structure and functionality of the brain. Sonia Mariotti then focused on the important role of cognitive flexibility involved in switching between languages, and how this ability should be preserved in bilingual brain tumour patients. Finally, the symposium ended with Lydia Wiernik, who presented a compelling case study on bimodal bilingualism, showing that both spoken English and British Sign Language can be tested and preserved during awake surgery. 

Each presentation built on the last, creating a layered and immersive experience that reflected the depth and diversity of research in this area. Feedback from the audience resonated with this aspect, and fellow academics expressed genuine enthusiasm for the symposium, describing it as both intellectually enriching and clinically vital. Many highlighted the lab’s work as not only fascinating but also deeply important – pushing the boundaries of what we understand about the bilingual brain.

Presenting at ISB15 was an incredible opportunity to share the BLB Lab research with the intenational academic community. We hope that our perspective on translational research inspires more interdisciplinary collaboration between linguists, neuroscientists, and clinicians to improve intraoperative care for everyone. 

View of Donostia-San Sebastián from Monte Igueldo

Exploring the frontiers of awake brain surgery: Highlights from the 2025 Awake Craniotomy Symposium at UWE

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Today, our Brain, Language and Behaviour (BLB) Lab played host to a landmark event in the field of brain tumour surgery: the 2025 Awake Craniotomy Symposium. Organised in collaboration with the North Bristol NHS Trust and the Tessa Jowell Brain Cancer Mission, the symposium brought together a community of more than a hundred neurosurgeons, speech and language therapists, neuropsychologists, physiotherapists, anaesthetists, and researchers to explore the latest advancements and challenges in awake brain surgery. Scroll down to see the photo gallery from the event!

The day began with a warm welcome from organisers, and our BLB Lab’s co-leads, Anna Piasecki and Neil Barua, setting the tone for a programme rich in interdisciplinary insight and clinical innovation. The first session focused on preoperative planning, featuring talks on cutting-edge techniques such as Navigated Transcranial Magnetic Stimulation (nTMS) by Jose Pedro Lavrador, and Diffusion Tensor Imaging (DTI) by Puneet Plaha and Natalie Voets. Neil Barua also introduced the role of mixed reality in surgical planning, highlighting how immersive technologies can support surgical approaches with the whole multidisciplinary team’s involvement. All attendees were then invited to explore some of these technologies for themselves at the featured sponsor stands throughout the day, including wearing VR goggles, which created a high level of interest and excitement.

Session two shifted the spotlight to intraoperative test selection. Hajira Mumtaz presented the first outcome of her research at the BLB Lab: the world’s first standardised and clinically tested resource for English-language object and action naming testing, freely available to clinicians (gain access to our BOATIM material here). This was followed by a compelling trio of perspectives on cognitive and sensorimotor testing during surgery—from physiotherapy, neuropsychology, and neurosurgery—delivered by Charly Moran, Margaret Newson, and Francesco Vergani respectively. Their insights underscored each discipline’s contribution in preserving complex brain functions during the surgery.

Following the morning sessions, clinical teams from across the UK and international delegates presented some of their innovative practice over joint lunch-poster session conversations. The winning poster was collectively decided by the symposium delegates and was awarded to the clinical team from the North Midlands and North Staffordshire Combined Healthcare Trust, sharing an evaluation of their originally designed Awake Craniotomy Video Leaflet for patients.

After lunch, the afternoon resumed with Sonia Mariotti and Clare Toner, who provided an overview of clinician and patient experience of awake brain surgery practices in the UK (see here and here for their respective work), setting the scene for two subsequent panel discussions. These two interactive sessions involved the attendees in a lively conversation with a multidisciplinary panel of experts, discussing the need for consensus on test selection and follow-up protocols. The conversations revealed both the diversity of current practices across the UK and a shared desire for more unified approaches to patient care and research.

The final session, “Directions for Networking and Collaboration,” featured a series of flash talks that showcased innovative projects and case studies. Highlights included Aimun Jamjoom’s introduction of Map-OR, a digital platform for intraoperative language testing, and Sonia Mariotti’s exploration of bilingual patient testing. Tom Williamson presented on the challenges of testing multiple linguistic modalities, while Will Singleton addressed the unique considerations of awake craniotomy in paediatric patients.

The symposium concluded with reflective feedback and closing remarks, followed by a well-earned dinner at PepeNero, where conversations continued informally among colleagues and new collaborators.

The 2025 Awake Craniotomy Symposium was more than a meeting of minds—it was a celebration of the collaborative spirit that drives progress in brain surgery and cognitive science. By bridging clinical practice with research and technology, the event highlighted the importance of interdisciplinary dialogue in improving patient care and advancing our understanding of the brain. And the overwhelmingly positive feedback from delegates reaffirmed just that – followed by requests for further iterations of our symposium that helps bringing this key community together. So, watch this space!

Photo Gallery

Expanding interdisciplinary networks and collaborations

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This month, some of our Lab members visited our collaborators at the University Hospital Bellvitge in Barcelona/Spain, to attend the 7th Mapping Course and Neuropsychological Assistance Workshop. 

The three-day event brought together academics and medical professionals from across Europe and other parts of the world working with brain tumour patients, all dedicated to advancing neuropsychological assistance in pre-, intra- and post-operative settings.

Workshop organisers and attendees, including BLB Lab members, Hajira, Tom, Sonia and Anna.

Course Highlights

The course was led by renowned experts in Spain, including Dr. Gabarrós, Chairman of the Neurosurgery Department and Brain Mapping Program Director at Hospital Universitari de Bellvitge, and Dr. Anna Gasa-Roqué, neuropsychologist and researcher from the Neuropsychology Unit at the same institution. The workshop covered a wide range of topics essential for professionals involved in neuropsychological practices, such as language and cognitive assessment of glioma patients undergoing awake brain surgery, but also for professionals that provide other aspects of patient care, such as physiotherapists, oncologists and counsellors. Hands-on workshops focused on pre- and post-surgery evaluations for this bespoke patient group, comprising intraoperative mapping and monitoring of language, and provided an insight into the neuropsychological practice as it is conducted at the Bellvitge Hospital. Attendees were also part of discussions revolving around best and new practices in patient care, such as the organising team’s recent clinical case involving a patient whose chess-playing abilities were tested alongside language and cognitive skills (see here for a case report).

BLB Lab’s Experience

For the BLB Lab members, the course was an enriching experience where they engaged with leading professionals, participated in interactive sessions, and gained a deeper understanding of the standard of care in neuropsychological assistance outside of the UK. The workshop also offered the opportunity to expand our networks, engage in open exchange and international collaboration to help us collectively advance our knowledge through research and ultimately improve practice and patient care.

Not only workshop sessions, but also a concert! 

The lab members were also treated to a unique evening concert, “Simfonia dels herois”, a project where clinicians and patients from Bellvitge Hospital come together to make music, produce songs and perform them to different audiences (have a look at the fascinating story behind the project and a documentary here). The concert, an initiative by Dr. Gabarrós, raises awareness of the impact of brain tumours on patients, and how much survival rates have increased in recent years thanks to research in improving surgical practice and techniques. A truly emotional experience!

Looking Ahead: Awake Craniotomy Symposium at UWE

The team returned from Barcelona inspired by the work of their Spanish peers and are excited to be part of the growing network of international collaborators with a common aim to advance neuropsychological research and practice. 

We, for our part, are teaming up with the North Bristol NHS Trust and Tessa Jowell Brain Cancer Mission to contribute to this journey and invite you to the Awake Craniotomy Symposium 2025, which will be held at UWE Bristol on Friday 23rd May 2025. 

Save the date and stay tuned for more updates!

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