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Updated: Dec 24, 2025

Assessment of Cerebral Lateralization in Children using Functional Transcranial Doppler Ultrasound fTCD
Published on: September 27, 2010
Language development and brain reorganization in a child born without the left hemisphere
Salomi S Asaridou1, Ö Ece Demir-Lira2, Susan Goldin-Meadow3
1University of California, Irvine, Department of Neurology, Biological Sciences III, Irvine, CA, USA.
A girl born without a left hemisphere showed remarkable language and cognitive skills, demonstrating significant brain plasticity. Enhanced white matter tracts in her right hemisphere likely facilitated this exceptional compensatory development.
Area of Science:
- Neuroscience
- Developmental Psychology
- Cognitive Science
Background:
- Investigating brain plasticity in individuals with congenital brain malformations.
- Understanding the relationship between brain structure, function, and cognitive development.
Observation:
- A 14-year-old female with a prenatal diagnosis of left hemisphere agenesis due to left internal carotid artery occlusion.
- Longitudinal language and cognitive assessments revealed normal to above-average performance in phonology, word reading, and reasoning skills.
- Functional MRI showed right fronto-temporal activation during language tasks, similar to typically developing children.
Findings:
- Diffusion MRI revealed significantly larger dorsal white matter association tracts (arcuate fasciculus) in the right hemisphere compared to controls.
- These structural differences are hypothesized to support compensatory brain plasticity.
- Exceptional performance in phonology, speech repetition, and decoding was observed.
Implications:
- This case highlights the brain's remarkable capacity for adaptation and compensation following early insult.
- Enhanced white matter connectivity may play a crucial role in enabling functional recovery and high-level cognitive performance.
- Findings contribute to our understanding of neurodevelopmental disorders and the mechanisms underlying cognitive resilience.
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