Hemispheric organization of local- and global-level visuospatial processes in deaf signers and its relation to sign language aphasia.

Previous work has shown that deficits in the production and perception of signed language are linked to left hemisphere damage but not right hemisphere damage in deaf lifelong signers, whereas severe deficits in nonlinguistic visuospatial abilities are more frequent following right hemisphere damage than left hemisphere damage in this population. In the present study we investigated the extent to which sign language deficits in deaf individuals can be dissociated from more subtle visuospatial deficits commonly associated with left hemisphere damage in the hearing/speaking population. A group of left- or right-lesioned deaf signers were asked to reproduce (1) two line drawings (a house and an elephant) and (2) four hierarchical figures. Drawings were scored separately for the presence of local vs global features. Consistent with data from hearing patients, left hemisphere-damaged deaf subjects were significantly better at reproducing global-level features, whereas right hemisphere-damaged deaf subjects were significantly better at reproducing local-level features. This effect held for both types of stimuli. Local-level performance in the LHD group did not correlate with performance on sign language tasks, suggesting that language deficits in LHD deaf signers are in fact linguistic specific.