The organization of language in the brains of multilingual persons remains
controversial. The authors investigated language representations in a profi
cient bilingual patient by using a novel neuroimaging technique, intraopera
tive optical imaging of intrinsic signals (iOIS), and a visual object namin
g task. The results indicate that there are cortical areas that are activat
ed by the use of both English and Spanish languages (superior temporal sulc
us, superior and middle temporal gyri, and parts of the supramarginal gyrus
). Zn addition, language-specific areas were identified in the supramargina
l (Spanish) and precentral (English) gyri. These results suggest that corti
cal language representations in bilingual persons may consist of both overl
apping and distinct components. Furthermore, this study demonstrates the ut
ility of iOIS in detecting topographical segregation of cognitively distinc
t cortices.