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Objective Brain mapping with direct electrical stimulation is considered the gold standard for maximum, safe resection of tumors affecting eloquent regions. However, no consensus exists in selection and interpretation of intraoperative testing for language and other cognitive domains. Our aim was to capture and statistically analyze variability in current practices in intraoperative language testing among neurosurgeons and neuropsychologists in the United States, Europe and rest of the world. Methods An electronic questionnaire was dev