Hemispheric lateralization

The lateralization of brain function is the tendency for some neural functions or cognitive processes to be more dominant in one hemisphere than the other. The medial longitudinal fissure separates the human brain into two distinct cerebral hemispheres, connected by the corpus callosum. Although the macrostructure of the two hemispheres appears to be almost identical, different composition of neuronal networks allows for specialized function that is different in each hemisphere.

Lateralization of brain structures is based on general trends expressed in healthy patients; however, there are numerous counterexamples to each generalization. Each human’s brain develops differently leading to unique lateralization in individuals. This is different from specialization as lateralization refers only to the function of one structure divided between two hemispheres. Specialization is much easier to observe as a trend since it has a stronger anthropological history. The best example of an established lateralization is that of Broca's and Wernicke's areas where both are often found exclusively on the left hemisphere. These areas frequently correspond to handedness, however, meaning that the localization of these areas is regularly found on the hemisphere corresponding to the dominant hand (anatomically on the opposite side). Function lateralization such as semantics, intonation, accentuation, prosody, etc. has since been called into question and largely been found to have a neuronal basis in both hemispheres. Another example is that each hemisphere in the brain tends to represent one side of the body. In the cerebellum this is the same bodyside, but in the forebrain this is predominantly the contralateral side.

One of the first indications of brain function lateralization resulted from the research of French physician Pierre Paul Broca, in 1861. His research involved the male patient nicknamed "Tan", who suffered a speech deficit (aphasia); "tan" was one of the few words he could articulate, hence his nickname. In Tan's autopsy, Broca determined he had a syphilitic lesion in the left cerebral hemisphere. This left frontal lobe brain area (Broca's area) is an important speech production region. The motor aspects of speech production deficits caused by damage to Broca’s area are known as expressive aphasia. In clinical assessment of this aphasia, it is noted that the patient cannot clearly articulate the language being employed.

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