Asymmetries of total arterial supply of cerebral hemispheres do not exist

Abstract

BackgroundTotal blood supply to an organ, or its part, is proportional to its function. The aim of this project was to investigate whether there is a lateralisation of total functions of cerebral hemispheres by determining differences in the arterial blood supply to left and right cerebral hemispheres. MethodsDiameters of right and left anterior, middle and posterior cerebral arteries were measured at specific sites and cross-sectional areas calculated in 203 adult brains (51 donated and dissected brain specimens and 152 cerebral arterial Computed Tomography Angiography and Magnetic Resonance Angiography images). FindingsThe sample size was large enough to provide a power of detecting as significant differences of 4%, but neither of the average cross-sectional areas of right anterior, middle and posterior cerebral arteries were significantly different from those of the anterior, middle and posterior cerebral arteries of the left side. Furthermore, combined areas of the three right cerebral arteries were not significantly different from combined areas of the left three arteries. This clearly indicates that the blood supply into the right cerebral hemisphere is not different from that of the left cerebral hemisphere. Therefore, there is no total functional lateralisation between the two cerebral hemispheres. ConclusionBrain lateralisation, frequently discussed in the literature, does not deferentially influence the total activity levels of cerebral hemispheres.