Abstract

“Origins of communicative disorders ” to Elizabeth Bates, and by a grant from the John D. and Catherine T. MacArthur Foundation. We are grateful to Larry Juarez and Meiti Opie The effects of focal brain injury are investigated in the first stages of language development, during the passage from first words to grammar. Parent report and/or free speech data are reported for 53 infants and preschool children between 10- 44 months of age. All children had suffered a single, unilateral brain injury to the left or right hemisphere, incurred before six months of age (usually in the pre- or perinatal period). This is the period in which we should expect to see maximal plasticity, but it is also the period in which the initial specializations of particular cortical regions ought to be most evident. In direct contradiction of hypotheses based on the adult aphasia literature, results from 10- 17 months suggest that children with righthemisphere injuries are at greater risk for delays in word comprehension, and in the gestures that normally precede and accompany language onset. Although there were no differences between left- vs. right-hemisphere injury per se on expressive language, children whose lesions include the left temporal lobe did show significantly greater delays in expressive vocabulary and

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