The current study presents both longitudinal behavioral data
and functional activation data documenting the effects of early
focal brain injury on the development of spatial analytic
processing in two children, one with prenatal left hemisphere
(LH) injury and one with right hemisphere (RH) injury. A
substantial body of evidence has shown that adults and children
with early, lateralized brain injury show evidence of spatial
analytic deficits. LH injury compromises the ability to encode
the parts of a spatial pattern, while RH injury impairs pattern
integration. The two children described in this report show
patterns of deficit consistent with the site of their injury.
In the current study, their longitudinal behavioral data spanning
the age range from preschool to adolescence are presented in
conjunction with data from a functional magnetic resonance imaging
(fMRI) study of spatial processing. The activation results provide
evidence that alternative profiles of neural organization can
arise following early focal brain injury, and document
where in the brain spatial functions are carried out
when regions that normally mediate them are damaged. In addition,
the coupling of the activation with the behavioral data allows
us to go beyond the simple mapping of functional sites, to ask
questions about how those sites may have come to mediate the
spatial functions. (JINS, 2003, 9, 604–622.)