Sign language aphasia following right hemisphere damage in a left-hander: a case of reversed cerebral dominance in a deaf signer?

Functional and structural brain asymmetries in sign language processing

The capacity for language constitutes a cornerstone of human cognition and distinguishes our species from other animals. Research in the cognitive sciences has demonstrated that this capacity is not bound to speech but can also be externalized in the form of sign language. Sign languages are the naturally occurring languages of the deaf and rely on movements and configurations of hands, arms, face, and torso in space. This chapter reviews the functional and structural organization of the neural substrates of sign language, as identified by neuroimaging research over the past decades. Most aspects of sign language processing in adult deaf signers markedly mirror the well-known, functional left-lateralization of spoken and written language. However, both hemispheres exhibit a certain equipotentiality for processing linguistic information and the right hemisphere seems to specifically support processing of some constructions unique to the signed modality. Crucially, the so-called "core language network" in the left hemisphere constitutes a functional and structural asymmetry in typically developed deaf and hearing populations alike: This network is (i) pivotal for processing complex syntax independent of the modality of language use, (ii) matures in accordance with a genetically determined biologic matrix, and (iii) may have constituted an evolutionary prerequisite for the emergence of the human capacity for language.

Brain correlates of constituent structure in sign language comprehension

During sentence processing, areas of the left superior temporal sulcus, inferior frontal gyrus and left basal ganglia exhibit a systematic increase in brain activity as a function of constituent size, suggesting their involvement in the computation of syntactic and semantic structures. Here, we asked whether these areas play a universal role in language and therefore contribute to the processing of non-spoken sign language. Congenitally deaf adults who acquired French sign language as a first language and written French as a second language were scanned while watching sequences of signs in which the size of syntactic constituents was manipulated. An effect of constituent size was found in the basal ganglia, including the head of the caudate and the putamen. A smaller effect was also detected in temporal and frontal regions previously shown to be sensitive to constituent size in written language in hearing French subjects (Pallier et al., 2011). When the deaf participants read sentences versus word lists, the same network of language areas was observed. While reading and sign language processing yielded identical effects of linguistic structure in the basal ganglia, the effect of structure was stronger in all cortical language areas for written language relative to sign language. Furthermore, cortical activity was partially modulated by age of acquisition and reading proficiency. Our results stress the important role of the basal ganglia, within the language network, in the representation of the constituent structure of language, regardless of the input modality.