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Updated: Aug 1, 2026

Assessment of Cerebral Lateralization in Children using Functional Transcranial Doppler Ultrasound (fTCD)
Published on: September 27, 2010
The right brain hemisphere is dominant in human infants
C Chiron1, I Jambaque, R Nabbout
1Hospital F. Joliot, Department of Medical Research, Orsay, France.
Insights
Brain development shows early right hemisphere activity in young children, shifting to the left by age three. This functional brain asymmetry progression supports earlier right-sided development for certain cognitive functions.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Cognitive Neuroscience
Background:
- Functional brain asymmetry develops during childhood.
- Cerebral blood flow (CBF) changes reflect brain maturation.
- Dynamic single photon emission computed tomography (dSPECT) measures regional CBF.
Purpose of the Study:
- To investigate the developmental trajectory of functional brain asymmetry in children.
- To correlate changes in cerebral blood flow with the emergence of cognitive functions.
- To test the hypothesis of earlier right hemisphere functional development.
Main Methods:
- Utilized dynamic single photon emission computed tomography (dSPECT) to measure resting-state cerebral blood flow in children.
- Analyzed changes in blood flow patterns between 1 and 3 years of age and beyond.
- Correlated hemispheric blood flow predominance with known developmental timelines of visuospatial and language abilities.
Main Results:
- A right hemispheric predominance in cerebral blood flow was observed between 1 and 3 years, primarily in posterior associative areas.
- Functional brain asymmetry shifted towards left hemispheric predominance after 3 years of age.
- The temporal pattern of blood flow changes aligned with the emergence of right-hemisphere-dominant functions (e.g., visuospatial skills) followed by left-hemisphere-dominant functions (e.g., language).
Conclusions:
- The findings support the hypothesis that the right hemisphere develops its functions earlier than the left hemisphere in humans.
- Childhood cerebral blood flow patterns reflect the sequential maturation of brain regions and associated cognitive functions.
- Dynamic single photon emission computed tomography is a valuable tool for studying developmental neurobiology and functional brain asymmetry.
Abstract:
The development of functional brain asymmetry during childhood is confirmed by changes in cerebral blood flow measured at rest using dynamic single photon emission computed tomography. Between 1 and 3 years of age, the blood flow shows a right hemispheric predominance, mainly due to the activity in the posterior associative area. Asymmetry shifts to the left after 3 years. The subsequent time course of changes appear to follow the emergence of functions localized initially on the right, but later on the left hemisphere (i.e. visuospatial and later language abilities). These findings support the hypothesis that, in man, the right hemisphere develops its functions earlier than the left.
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