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A Functional Magnetic Resonance Imaging Study of Left Hemisphere Language Dominance in Children
Lyn M. Balsamo, MA;
Benjamin Xu, PhD;
Cecile B. Grandin, MD, PhD;
Jeffrey R. Petrella, MD;
Suzanne H. Braniecki, MA;
Teresa K. Elliott, PhD;
William D. Gaillard, MD
Arch Neurol. 2002;59:1168-1174.
Background Functional magnetic resonance imaging is a noninvasive method of assessing
language dominance in a pediatric population.
Objective To determine the pattern of receptive language lateralization in healthy
children.
Design We used functional magnetic resonance imaging to assess an auditory
language task in 11 children (7 girls, 4 boys; mean age, 8.5 years). Participants
alternately rested and listened to descriptors of nouns presented auditorily,
naming the object described silently. Asymmetry indices ([(left - right)/(left
+ right)]) were calculated for a prioridetermined regions of interest.
Results The results showed strong activation bilaterally, with greater activation
on the left in the superior and middle temporal gyri. Other areas of activation
included the cuneus, the left inferior temporal gyrus, the prefrontal area,
and the left fusiform and lingual gyri. Regions of interest analysis of individual
scans showed additional activation in the left frontal lobe. Asymmetry indices
showed strong left lateralization of the inferior frontal gyrus, middle frontal
gyrus, and the Wernicke region.
Conclusions Hemispheric lateralization was clearly demonstrated in 8 children. As
in adults, left hemisphere lateralization of receptive language is present
at age 8 years.
From the Department of Neurology, Children's National Medical Center,
George Washington School of Medicine, Washington, DC (Mss Balsamo and Braniecki
and Dr Gaillard); Epilepsy Research Branch, National Institute of Neurological
Disorders and Stroke, National Institutes of Health, Bethesda, Md (Mss Balsamo
and Braniecki and Drs Xu, Grandin, Petrella, and Gaillard); and American University,
Washington, DC (Ms Balsamo and Dr Elliott).
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