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The recent advent of brain-mapping technology-which allows doctors to create a precise digital replica of a person's brain cartography--has made more surgeons comfortable with the concept of keeping patients awake while they operate. This article profiles a woman, Brittany Capone, who's having open-brain surgery to remove a tumor that's dangerously close to a region in the brain that controls speech and the ability to comprehend language. By doing the operation while she is awake and speaking, her surgeon, Dr. Philip Gutin, can figure out exactly where the offending growth ends and the area of the brain called the Wernicke's center begins. This way, Gutin can see how close he can cut without permanently affecting his patient's ability to talk. What neurosurgeons are learning through mapping and documenting their experiences is also informing general knowledge about where brain structures are located and the slightly different positions they can take in different people.

Suskind conducted close to 200 surgeries to install cochlear implants in the ears of children, to help them hear. Over the years, she came to see first-hand, in the operating room and X-rays, that hearing words vitalizes the brains of infants.

In a group of internationally adopted children with cleft lip and/or palate, speech at age five is impaired compared to a corresponding group of children born in Sweden, a study shows. The adopted children also need more extensive surgery, which may be due to their surgical interventions taking place later in life.

Scientists are reporting in the journal Science that they have identified specialized brain cells that help us understand what a speaker really means. These cells do this by keeping track of changes in the pitch of the voice. "We found that there were groups of neurons that were specialized and dedicated just for the processing of pitch," says Dr. Eddie Chang, a professor of neurological surgery at the University of California, San Francisco. Chang says these neurons allow the brain to detect "the melody of speech," or intonation, while other specialized brain cells identify vowels and consonants. "Intonation is about how we say things," Chang says. "It's important because we can change the meaning, even - without actually changing the words themselves." The identification of specialized cells that track intonation shows just how much importance the human brain assigns to hearing, says Nina Kraus, a neurobiologist who runs the Auditory Neuroscience Laboratory at Northwestern University. "Processing sound is one of the most complex jobs that we ask our brain to do," Kraus says. And it's a skill that some brains learn better than others, she says. Apparently, musicians, according to a study conducted by Kraus, are better than non-musicians at recognizing the subtle tonal changes found in Mandarin Chinese. On the other hand, recognizing intonation is a skill that's often impaired in people with autism, Kraus says. "A typically developing child will process those pitch contours very precisely," Kraus says. "But some kids on the autism spectrum don't. They understand the words you are saying, but they are not understanding how you mean it." The new study suggests that may be because the brain cells that usually keep track of pitch aren't working the way they should.