Language Hemispheric Dominance in Patients with Congenital Lesions of Eloquent Brain
Abstract
OBJECTIVE: In 90% of normal subjects, the left hemisphere is dominant for language function. We investigated whether congenital lesions of the left perisylvian regions altered cortical language representation in right-handed individuals. METHODS: Using functional magnetic resonance imaging, we studied language hemispheric dominance in five right-handed adult patients with congenitally acquired arteriovenous malformations (AVMs) originating from left hemispheric cortical language regions. The AVMs had not caused neurological symptoms during early development, but patients presented as adults with migraine, seizure, or minor hemorrhage. Results obtained from the AVM patients were contrasted to those from right-handed brain-injured stroke patients recovering from aphasia and to those from right-handed normal subjects. RESULTS: During silent picture naming and verb generation tasks, cortical language networks lateralized primarily to the right hemisphere in the AVM group, compared with the left hemisphere in the normal group. This right hemisphere-shifted language network in the AVM group exceeded the shifts toward right hemispheric dominance found in the stroke group. CONCLUSION: Patients with AVMs affecting the left perisylvian regions recruited the right hemisphere into language processing networks during early development, presumably in response to congenitally aberrant circulation. This early right hemisphere recruitment in the AVM patients exceeded the similar process in the brains of stroke patients whose left cortical language networks were damaged in adulthood. Our data provide evidence of effective plasticity in the developing human brain compared with the mature brain response to injury. Knowledge of cortical language representation should assist presurgical planning in patients with developmental anomalies affecting apparently language-dominant brain regions.
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Previous research on recovery of function after brain injury has shown that, in the face of left hemisphere damage, the right hemisphere can increase its activity in a compensatory manner.
“Previous research on recovery of function after brain injury has shown that, in the face of left hemisphere damage, the right hemisphere can increase its activity in a compensatory manner (16–18).”
From Neural deficits in children with dyslexia ameliorated by behavioral remediation: Evidence from functional MRI (2003) · cites this paper as [16]
The results are consistent with studies of recovery of function after left hemisphere damage showing increased activity in right hemisphere homologues of left hemisphere language areas associated with improved language ability.
“These results are consistent with studies of recovery of function after left hemisphere damage that have shown increased activity in right hemisphere homologues of left hemisphere language areas associated with improved language ability (16–18).”
From Neural deficits in children with dyslexia ameliorated by behavioral remediation: Evidence from functional MRI (2003) · cites this paper as [16]
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Complications Caused by Cerebral Arteriovenous Malformation Embolization
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- Authors
- Vikingstad, E. M., Cao, Y., Thomas, A. J., Johnson, A. F., Malik, G. M., & Welch, K. M. A.
- Affiliations
- Henry Ford Health (US)
- University of Kansas Medical Center (US)
- Venue
- Neurosurgery
- Published
- 2000-09
- Volume
- 47
- Issue
- 3
- Pages
- 562-570
- ISSN
- 0148-396X (ISSN-L)
- OpenAlex
- W1974998084
- Cited by
- 68
- References
- 42
- Citations by year
- 2023: 1 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 4
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Heart Association
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hemispheric Asymmetry in Neuroscience
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Keywords
- congenital arteriovenous malformation, aphasia, stroke, neuroplasticity, presurgical planning, right-handedness
- MeSH terms
- Adult, Brain Damage, Chronic, Brain Mapping, Intracranial Arteriovenous Malformations, Cerebral Cortex, Dominance, Cerebral, Female, Humans, Language Disorders, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Net, Reference Values
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