Faccio E J, Napolitano A, Seifer J
Laboratorio de Patología, Hospital Nacional José T. Borda, Buenos Aires.
Medicina (B Aires). 1980 Nov-Dec;40(6 Pt 1):662-6.
The studies of the hemispheric functional asymmetries in human brain began last century with Dax, Gall, Brocca and Wernicke's observations, demonstrating that language functions belong specially to the left hemisphere. Recent anatomic review were published by Flechsig and von Economo; Geschwing and Levitsky (1968) gave to these observations statistical meaning by showing that the cortex situated behind the transverse gyrus (planum temporale) is larger in the left hemisphere in 65 % of the brains, larger to the right in 11 % and equal in 24 % of the cases studied, These results were confirmed by many authors. If we consider that in 4 % patients, aphasia is due to damage in the right hemmisphere and we homologize this to the 10 % of brains with planum temporale larger to the right we see that 20 % of the cases having equal planum (left and right) possess left hemisphere dominance. To resolve this question we studied the planum temporale cortex in eight adult brains. Four of them had a larger planum to the left, and the other four were equal left and right. This work was perfomed using Weigert's method for staining myelin fibers. It was observed in all the cases that the left planum (compared with the right) had much more myelin fibers in the second and third cortical layers and more radial fibers too. It can be concluded that: 1) the left brain hemisphere is more recent phylogenetically than the right one, because it has much more myelin in its supragranulous layers; 2) this greater supragranulous complexity is related to the ability to elaborate the language performances. 3) myelin stain methods are better than macroscopic observations to determine hemispheric dominance.
人类大脑半球功能不对称性的研究始于上世纪,由达克斯、加尔、布罗卡和韦尼克的观察开始,表明语言功能特别属于左半球。弗莱克西希和冯·埃科诺莫发表了最近的解剖学综述;格施温德和列维茨基(1968年)通过表明在研究的病例中,65%的大脑左半球位于颞横回(颞平面)后方的皮质更大,11%的大脑右半球更大,24%的大脑左右相等,赋予了这些观察结果统计学意义。这些结果得到了许多作者的证实。如果我们认为在4%的患者中,失语症是由于右半球受损,并且我们将此与10%的颞平面右侧更大的大脑进行同源比较,我们会发现20%的颞平面(左右)相等的病例具有左半球优势。为了解决这个问题,我们研究了8个成人大脑的颞平面皮质。其中4个左颞平面更大,另外4个左右相等。这项工作使用魏格特氏法对髓鞘纤维进行染色。在所有病例中都观察到,左颞平面(与右颞平面相比)在第二和第三皮质层有更多的髓鞘纤维,也有更多的放射状纤维。可以得出以下结论:1)左脑半球在系统发育上比右脑半球更新,因为它在颗粒上层有更多的髓鞘;2)这种更大的颗粒上复杂性与语言表现的精细能力有关;3)髓鞘染色方法比宏观观察更能确定半球优势。