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32 - Right versus left hemisphere syndromes

Published online by Cambridge University Press:  10 October 2009

Isabel P. Martins
Affiliation:
Hospital de Santa Maria, Lisboa, Portugal
Lara Caeiro
Affiliation:
Hospital de Santa Maria, Lisboa, Portugal
José M. Ferro
Affiliation:
Hospital de Santa Maria, Lisboa, Portugal
Olivier Godefroy
Affiliation:
Université de Picardie Jules Verne, Amiens
Julien Bogousslavsky
Affiliation:
Université de Lausanne, Switzerland
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Summary

Introduction

Although the brain is a symmetrical organ, its functional architecture is rather asymmetric. Beyond a certain degree of functional hierarchy, there is a lateralized distribution of cerebral functions, each hemisphere being dominant for a specific type of information processing. This functional asymmetry is evident in the association and multimodal cortices and extends to the subcortical networks.

The mechanisms of hemispheric specialization are not completely understood. Yet, there is converging evidence that the phenomenon of cerebral dominance is based on hemispheric differences in cortical cytoarchitecture and inter-area connectivity that create neural networks with specific styles of information processing (Hustler and Galuske, 2003). Innate computational differences between the two hemispheres are likely to be enhanced or modulated by experience, function acquisition (Gaillard et al., 2003; Castro-Caldas et al., 1998), timing of brain maturation, as the development of the right hemisphere precedes the development of the left (Chiron et al., 1997), and by the degree of expertise achieved in specific functions (Tatsuno and Sakai, 2005; Pascual-Leone et al., 1994). Neurochemical asymmetries may also explain some aspects of behavior (Mohr et al., 2003).

The left cerebral hemisphere is characterized by a discreet organization of functions and a rather sequential, linear, and analytic processing style. This is probably responsible for its ability to extract and process perceptual detail (Delis et al., 1988) and for its advantage in the temporal resolution of events (Zatorre & Belin, 2001), such as the rapidly changing speech sounds.

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Publisher: Cambridge University Press
Print publication year: 2007

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