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Updated: Jun 4, 2026

Assessment of Cerebral Lateralization in Children using Functional Transcranial Doppler Ultrasound (fTCD)
Published on: September 27, 2010
Evidence for developmental programming of cerebral laterality in humans
Alexander Jones1, Clive Osmond, Keith M Godfrey
1Centre for Cardiovascular Imaging, University College London Institute of Child Health, London, United Kingdom. alexander.jones@ich.ucl.ac.uk
Early life stress and low birth weight are linked to persistent right-hemisphere brain activity in children. This cerebral lateralization may impact long-term neurocognitive function and stress response.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Adverse fetal environments are linked to later-life depression, cognitive deficits, and heightened stress reactivity.
- Mechanisms underlying these associations, particularly alterations in neurodevelopment and brain regional specialization, remain unclear.
- Cerebral activity asymmetry, specifically greater right hemisphere activity, is associated with psychopathology.
Purpose of the Study:
- To investigate if regional specialization during fetal development, influenced by environmental factors, persists as altered relative activity between cerebral hemispheres.
- To examine the relationship between birth weight, placental weight, and cerebral hemispheric activity at rest and after stress in children.
Main Methods:
- Assessed relative cerebral blood flow using tympanic membrane temperature in 140 healthy 8-9-year-old children.
- Measured cerebral activity at rest and following psychosocial stress (Trier Social Stress Test for Children).
- Utilized previously collected data on birth weight and placental weight.
Main Results:
- Children with lower birth weight showed greater right than left hemisphere blood flow, particularly after stress (r = -0.18, P = 0.04).
- This effect was more pronounced in children with a low birth weight relative to placental weight (r = -0.31, P = 0.0005 after stress).
- Findings suggest a persistent influence of early developmental experiences on cerebral lateralization.
Conclusions:
- Early developmental conditions, such as lower birth weight, can persistently influence the lateralization of cerebral activity.
- This altered brain activity pattern may have long-term implications for neurocognitive function and stress responsiveness.
- Suggests a potential biological pathway linking adverse fetal environments to later-life mental health outcomes.
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Lateralization
Cerebral Hemispheres