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Article
Nature Neuroscience  5, 695 - 699 (2002)
Published online: 10 June 2002; | doi:10.1038/nn868

Degree of language lateralization determines susceptibility to unilateral brain lesions

S Knecht1, A Flöel1, B Dräger1, C Breitenstein1, J Sommer1, H Henningsen1, E.B. Ringelstein1 & A Pascual-Leone2

1  Department of Neurology, University of Münster, Albert-Schweitzer-Strabetae 33, D-48129 Münster, Germany

2  Laboratory for Magnetic Brain Stimulation, Harvard Medical School, 330 Brookline Avenue, Kirstein Building KS 454, Boston, Massachusetts 02215, USA

Correspondence should be addressed to S Knecht knecht@uni-muenster.de
Language is considered a function of either the left or, in exceptional cases, the right side of the brain. Functional imaging studies show, however, that in the general population a graded continuum from left hemispheric to right hemispheric language lateralization exists. To determine the functional relevance of lateralization differences, we suppressed language regions using transcranial magnetic stimulation (TMS) in healthy human subjects who differed in lateralization of language-related brain activation. Language disruption correlated with both the degree and side of lateralization. Subjects with weak lateralization (more bilaterality) were less affected by either left- or right-side TMS than were subjects with strong lateralization to one hemisphere. Thus in some people, language processing seems to be distributed evenly between the hemispheres, allowing for ready compensation after a unilateral lesion.

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Nature Neuroscience
ISSN: 1097-6256
EISSN: 1546-1726
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