Mathematics performance in left and right brain-lesioned children and adolescents

Children and adolescents with unilateral left- or right-hemisphere lesions were administered a standardized test of mathematics ability and a battery of experimental tests that examined the components of numerical and arithmetic processing. All lesioned groups showed at least marginally lower scores on the standardized test than the controls. More importantly, lesion-related deficits in performance were observed, especially for younger left-lesioned subjects (ages 7-12), on the verbal counting, digit matching, speeded addition, and written subtraction tasks; deficits among younger right-lesioned subjects were similar in nature, yet less pronounced than in the left-hemisphere group. Older left-lesioned subjects showed differences from their controls only on complex verbal counting and speeded addition. Correlations among the various measures indicated two further points. First, earlier onset of left-hemisphere lesion is associated with more serious disruption of mathematical processing. Second, these disruptions are not well assessed by a typical standardized test of mathematical performance, but are clearly in evidence with more precise, focused tasks.