Learning to read without a left occipital lobe: right-hemispheric shift of visual word form area

Ann Neurol. 2004 Dec;56(6):890-4. doi: 10.1002/ana.20326.

Abstract

Using anatomical and functional magnetic resonance imaging, we studied the pattern of brain lateralization during spoken and written language tasks, in an 11-year-old girl who underwent a left occipitotemporal resection for a Sturge-Weber angioma at the age of 4 years, that is, after the development of speech but before the acquisition of reading. We observed a selective and successful shift to the right hemisphere of the visual component of reading, particularly the Visual Word Form Area, whereas the verbal components remained strongly left-lateralized. This emphasizes the potential utility of a precise functional and developmental cartography of language for the surgical treatment of focal brain lesions in children.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Female
  • Humans
  • Language
  • Learning / physiology*
  • Magnetic Resonance Imaging / methods
  • Occipital Lobe / pathology*
  • Photic Stimulation / methods*
  • Reading*
  • Speech / physiology