Hemispheric Specialization Research Articles

A minor role for hemispheric specialization in determining pseudoneglect: A pre-registered replication-extension study.

Neurologically intact individuals display a mild asymmetry in spatial attention that can be measured during experimental spatial tasks such as line bisection. Although this phenomenon, known as pseudoneglect, is traditionally explained as the consequence of right hemisphere dominance for visuospatial attention, surmounting evidence suggests this is not its sole or even its most important determinant. For instance, a recent fMRI study in left-handers revealed that rare individuals with a reversed, left hemispheric dominance (LHDS, N=23) also demonstrated left-sided pseudoneglect, although their spatial bias was less marked compared to typically lateralized controls (N=40). The current study sought to replicate and extend these findings in a broader cohort of right-handers (N=75) and left-handers (N=181), while addressing methodological limitations of the original study. Contrary to the predictions of the hemispheric specialization account, pseudoneglect was not reversed in LHDS participants (N=49). However, the pseudoneglect effect was reduced compared to controls with typical cerebral laterality (N=207) due to a population-level randomization of pseudoneglect in the LHDS group. These results align with those of the original study, supporting a multifactorial interpretation of pseudoneglect, with hemisphere specialization as one among many determinants rather than being the predominant cause.

Hemispheric co-lateralization of language and spatial attention reduces performance in dual-task.

Hemispheric specialization of different functions is proposed to confer evolutionary benefits, yet the behavioral impacts of lateralization and its cognitive and neural mechanisms remain unclear. This study investigated the effect of lateralization pattern between language and spatial attention on dual-task performance and its association with callosal connectivity. Functional lateralization was assessed using fMRI verbal fluency and landmark tasks, and interhemispheric connections were evaluated through diffusion-weighted imaging. The typical lateralization pattern enhanced overall performance and reduced interference in dual-task compared to the co-lateralized pattern (both functions lateralized to one hemisphere). However, no differences were observed between the mirrored pattern (right language dominance and left attention dominance) and the co-lateralized pattern. While callosal connectivity did not significantly differ among groups, a negative correlation was observed between the lateralization degree and callosal connectivity. Our findings partially support the functional crowding hypothesis and offer insights into neurocognitive mechanisms underlying functional reorganization after brain lesions.

Reading words versus seeing font or handwriting style: a study of hemifield processing.

Tachistoscopic studies have established a right field advantage for the perception of visually presented words, which has been interpreted as reflecting a left hemispheric specialization. However, it is not clear whether this is driven by the linguistic task of word processing, or also occurs when processing properties such as the style and regularity of text. We had 23 subjects perform a tachistoscopic study while they viewed five-letter words in either computer font or handwriting. The task in one block was to respond if the word in the peripheral field matched a word just seen in the central field. In a second block with the same stimuli, the task was to respond if the style (handwriting or font) matched. We found a main effect of task: there was a right-field advantage for reading the word, but no field advantage for reporting the style of text. There was no effect of stimulus type and no interaction between task and stimulus type. We conclude that the field advantage for processing text is driven by the task, being specific for the processing the identity of the word and not the perception of the style of the text. We did not find evidence to support prior assertions that the type of text and its regularity influenced the field advantage during the word-reading task.

Lateralization study of the basal ganglia, thalamus and supplying arteries in healthy individuals based on structure and connectivity analysis using 7.0T MRI.

The human cerebral cortex is known for its hemispheric specialization, which underpins a variety of functions and activities. However, it is not well understood if similar lateralization exists within the deep gray matter nuclei, such as the basal ganglia (BG) and thalamus, and their associated arteries, including the lenticulostriate arteries (LSAs). To explore this, we analyzed images from 7T MRI scans of 40 healthy young individuals. We isolated the LSAs and analyzed their morphological characteristics. Additionally, we segmented the bilateral BG and thalami into 28 subregions based on the Brainnetome atlas and calculated their volumes using single-subject voxel-based morphometry (VBM) analysis. We also obtained four parameters from Diffusion Tensor Imaging (DTI) within these 28 subregions. Bilateral comparisons were conducted using paired t-tests for all measurements. Connectivity-network matrices, based on the number of connecting fibers and fractional anisotropy between subregions, were constructed. The results showed that in the right-handed dominant population, we observed that the total number and length of LSAs in the left hemisphere exceeded those in the right. Among the 28 subregions, several showed leftward volume dominance, including the ventral caudate, globus pallidus, ventromedial putamen, medial pre-frontal thalamus, occipital thalamus, and caudal temporal thalamus. In contrast, the nucleus accumbens, dorsal caudate, dorsolateral putamen, pre-motor thalamus, sensory thalamus, posterior parietal thalamus, and lateral pre-frontal thalamus showed rightward volume dominance. Except for the ventral medial putamen (vmPu), all other subnuclei displayed at least three DTI measures with left-right differences. The connectivity between subregions revealed distinct patterns in the bilateral hemispheres, with a leftward dominance. Collectively, these findings enhance our understanding of lateralization within subcortical structures.

Functional Brain Adaptations During Speech Processing in 4-Month-Old Bilingual Infants.

Language learning is influenced by both neural development and environmental experiences. This work investigates the influence of early bilingual experience on the neural mechanisms underlying speech processing in 4-month-old infants. We study how an early environmental factor such as bilingualism interacts with neural development by comparing monolingual and bilingual infants' brain responses to speech. We used functional near-infrared spectroscopy (fNIRS) to measure 4-month-old Spanish-Basque bilingual and Spanish monolingual infants' brain responses while they listened to forward (FW) and backward (BW) speech stimuli in Spanish. We reveal distinct neural signatures associated with bilingual adaptations, including increased engagement of bilateral inferior frontal and temporal regions during speech processing in bilingual infants, as opposed to left hemispheric functional specialization observed in monolingual infants. This study provides compelling evidence of bilingualism-induced brain adaptations during speech processing in infants as young as 4 months. These findings emphasize the role of early language experience in shaping neural plasticity during infancy suggesting that bilingual exposure at this young age profoundly influences the neural mechanisms underlying speech processing.

Cortical neural activity during responses to mechanical perturbation: Effects of hand preference and hand used.

Handedness, as measured by self-reported hand preference, is an important feature of human behavioral lateralization that has often been associated with hemispheric specialization. We examined the extent to which hand preference and whether the dominant hand is used or not influence the motor and neural response during voluntary unimanual corrective actions. The experimental task involved controlling a robotic manipulandum to move a cursor from a center start point to a target presented above or below the start. In some trials, a mechanical perturbation of the hand was randomly applied by the robot either consistent or against the target direction, while electroencephalography (EEG) was recorded. Twelve left-handers and ten right-handers completed the experiment. Left-handed individuals had a greater negative peak in the frontal event-related potential (ERP) than right-handed participants during the initial response phase (N150) than right-handed individuals. Furthermore, left-handed individuals showed more symmetrical ERP distributions between two hemispheres than right-handed individuals in the frontal and parietal regions during the late voluntary response phase (P390). To the best of our knowledge, this is the first evidence that demonstrates the differences in the cortical control of voluntary corrective actions between left-handers and right-handers.

What's left of the leftward bias in scene viewing? Lateral asymmetries in information processing during early search guidance

Understanding how early scene viewing is guided can reveal fundamental brain mechanisms for quickly making sense of our surroundings. Viewing is often initiated from the left side. Across two experiments, we focused on search initiation for lateralised targets within real-world scenes, investigating the role of the cerebral hemispheres in guiding the first saccade. We aimed to disentangle hemispheric contribution from the effects of reading habits and distinguish between an overall dominance of the right hemisphere for visuospatial processing and finer hemispheric specialisation for the type of target template representation (from pictorial versus verbal cues), spatial scale (global versus local), and timescale (short versus longer). We replicated the tendency to initiate search leftward in both experiments. However, we found no evidence supporting a significant impact of left-to-right reading habits, either as a purely motor or attentional bias to the left. A general visuospatial dominance of the right hemisphere could not account for the results either. In Experiment 1, we found a greater probability of directing the first saccade toward targets in the left visual field but only after a verbal target cue, with no lateral differences after a pictorial cue. This suggested a contribution of the right hemisphere specialisation in perceptually simulating words' referents. Lengthening the Inter-Stimulus Interval between the cue and the scene (from 100 to 900 ms) resulted in reduced first saccade gain in the left visual field, suggesting a decreased ability of the the right hemisphere to use the target template to guide gaze close to the target object, which primarily depends on local information processing. Experiment 2, using visual versus auditory verbal cues, replicated and extended the findings for both first saccade direction and gain. Overall, our study shows that the multidetermined functional specialisation of the cerebral hemispheres is a key driver of early scene search and must be incorporated into theories and models to advance understanding of the mechanisms that guide viewing behaviour.

Heschl’s gyrus and the temporal pole: The cortical lateralization of language

The left lateralization of language has been attributed to hemispheric specialization for processing rapidly changing information. While interhemispheric differences in auditory cortex organization support this view, the macrostructure of the entire cerebral cortex has not been thoroughly examined from this perspective. This study investigated hemispheric asymmetries in cortical surface area and thickness and their relationship to pronunciation scores from oral reading using the Human Connectome Project Young Adult dataset (N=1113). Heschl’s gyrus had the most left-lateralized surface area, while the temporal pole showed the strongest right-lateralization in thickness. These areas correspond to the core components of speech: sound and meaning. Notably, their structural features were the only ones also yielding a significant correlation with pronunciation scores. Additionally, Broca’s area’s posterior region (pars opercularis), involved in articulatory phonological processing, showed leftward lateralization, contrasting with the right-lateralized anterior portions. Left-hemisphere language areas were largely thinner and more extended than their right-sided homologs with a larger white-to-gray matter ratio. Cortical thickness was inversely related to surface area. The lateralization of auditory-related language areas and their structure’s correlation with pronunciation in oral reading supports a genetically based auditory foundation for language. A thinner, more efficient cortex with larger surface areas and increased myelination likely underlies the left-hemispheric dominance of language. Thinner, more extended brain areas have been linked to more myelination and wider cortical columns and intercolumnar space. This provides the potential for a fast network of interconnected, discrete information units able to support language’s demands of rapid categorical processing.

Individual variation in the functional lateralization of human ventral temporal cortex: Local competition and long-range coupling.

The ventral temporal cortex (VTC) of the human cerebrum is critically engaged in computations related to high-level vision. One intriguing aspect of this region is its asymmetric organization and functional lateralization. Notably, in the VTC, neural responses to words are stronger in the left hemisphere, whereas neural responses to faces are stronger in the right hemisphere. Converging evidence has suggested that left-lateralized word responses emerge to couple efficiently with left-lateralized frontotemporal language regions, but evidence is more mixed regarding the sources of the right-lateralization for face perception. Here, we use individual differences as a tool to adjudicate between three theories of VTC organization arising from: 1) local competition between words and faces, 2) local competition between faces and other categories, 3) long-range coupling with VTC and frontotemporal areas subject to their own local competition. First, in an in-house functional MRI experiment, we demonstrated that individual differences in laterality are both substantial and reliable within a right-handed population of young adults. We found no (anti-)correlation in the laterality of word and face selectivity relative to object responses, and a positive correlation when using selectivity relative to a fixation baseline, challenging ideas of local competition between words and faces. We next examined broader local competition with faces using the large-scale Human Connectome Project (HCP) dataset. Face and tool laterality were significantly anti-correlated, while face and body laterality were positively correlated, consistent with the idea that generic local representational competition and cooperation may shape face lateralization. Last, we assessed the role of long-range coupling in the development of VTC laterality. Within our in-house experiment, substantial correlation was evident between VTC text laterality and several other nodes of a distributed text-processing circuit. In the HCP data, VTC face laterality was both negatively correlated with frontotemporal language laterality, and positively correlated with social perception laterality in the same areas, consistent with a long-range coupling effect between face and social processing representations, driven by local competition between language and social processing. We conclude that both local and long-range interactions shape the heterogeneous hemispheric specializations in high-level visual cortex.

Use of a hand-worn accelerometer to measure hand differences in Grooved Pegboard Test

Research on laterality, which pertains to the preference for using one hand over the other in daily activities, has recently been a growing topic of investigation. Studies demonstrate that performance differences between the right and left hands arise from distinct strategies in utilizing information for movement execution. To conduct a more comprehensive analysis of these differences, we aimed to investigate various measures using a wrist accelerometer during the execution of a traditional tool to assess manual performance. The proposed hypothesis suggested that tasks performed with the right hand would exhibit shorter movement times due to more efficient real-time information processing. In contrast, tasks performed with the left hand would show shorter reaction times due to movement planning proficiency. Furthermore, we hypothesized that increased task complexity would make these differences more pronounced. The study revealed that, in the less complex task, the right hand outperformed the left hand in execution speed, whereas the left hand demonstrated faster reaction times in the more complex task. The task complexity highlighted the differences, emphasizing the impact of task demands on hand specialization. Using an accelerometer provided valuable insights, indicating potential avenues for refining assessment tools and analyzing manual control. Keywords: motor control, hemispheric specialization, laterality, hand function, dexterity.

Musical Sophistication and Multilingualism: Effects on Arcuate Fasciculus Characteristics.

The processing of auditory stimuli which are structured in time is thought to involve the arcuate fasciculus, the white matter tract which connects the temporal cortex and the inferior frontal gyrus. Research has indicated effects of both musical and language experience on the structural characteristics of the arcuate fasciculus. Here, we investigated in a sample of n = 84 young adults whether continuous conceptualizations of musical and multilingual experience related to structural characteristics of the arcuate fasciculus, measured using diffusion tensor imaging. Probabilistic tractography was used to identify the dorsal and ventral parts of the white matter tract. Linear regressions indicated that different aspects of musical sophistication related to the arcuate fasciculus' volume (emotional engagement with music), volumetric asymmetry (musical training and music perceptual abilities), and fractional anisotropy (music perceptual abilities). Our conceptualization of multilingual experience, accounting for participants' proficiency in reading, writing, understanding, and speaking different languages, was not related to the structural characteristics of the arcuate fasciculus. We discuss our results in the context of other research on hemispheric specializations and a dual-stream model of auditory processing.

Cortical microstructure and hemispheric specialization-A diffusion-imaging analysis in younger and older adults.

Characterizing cortical plasticity becomes increasingly important for identifying compensatory mechanisms and structural reserve in the ageing population. While cortical thickness (CT) largely contributed to systems neuroscience, it incompletely informs about the underlying neuroplastic pathophysiology. In turn, microstructural characteristics may correspond to atrophy mechanisms in a more sensitive way. Fractional anisotropy, a diffusion tensor imaging (DTI) measure, is inversely related to cortical histologic complexity. Axial diffusivity and radial diffusivity are assumed to be linked to the density of structures oriented perpendicular and parallel to the cortical surface, respectively. We hypothesized (1) that cortical DTI will reveal microstructural correlates for hemispheric specialization, particularly in the language and motor systems, and (2) that lateralization of cortical DTI parameters will show an age effect, paralleling age-related changes in activation, especially in the prefrontal cortex. We analysed data from healthy younger and older adult participants (N = 91). DTI and CT data were extracted from regions of the Destrieux atlas. Diffusion measures showed lateralization in specialized motor, language, visual, auditory and inferior parietal cortices. Age-dependent increased lateralization for DTI measures was observed in the prefrontal, angular, superior temporal and lateral occipital cortex. CT did not show any age-dependent alterations in lateralization. Our observations argue that cortical DTI can capture microstructural properties associated with functional specialization, resembling findings from histology. Age effects on diffusion measures in the integrative prefrontal and parietal areas may shed novel light on the atrophy-related plasticity in healthy ageing.

A neural network for religious fundamentalism derived from patients with brain lesions

Religious fundamentalism, characterized by rigid adherence to a set of beliefs putatively revealing inerrant truths, is ubiquitous across cultures and has a global impact on society. Understanding the psychological and neurobiological processes producing religious fundamentalism may inform a variety of scientific, sociological, and cultural questions. Research indicates that brain damage can alter religious fundamentalism. However, the precise brain regions involved with these changes remain unknown. Here, we analyzed brain lesions associated with varying levels of religious fundamentalism in two large datasets from independent laboratories. Lesions associated with greater fundamentalism were connected to a specific brain network with nodes in the right orbitofrontal, dorsolateral prefrontal, and inferior parietal lobe. This fundamentalism network was strongly right hemisphere lateralized and highly reproducible across the independent datasets (r = 0.82) with cross-validations between datasets. To explore the relationship of this network to lesions previously studied by our group, we tested for similarities to twenty-one lesion-associated conditions. Lesions associated with confabulation and criminal behavior showed a similar connectivity pattern as lesions associated with greater fundamentalism. Moreover, lesions associated with poststroke pain showed a similar connectivity pattern as lesions associated with lower fundamentalism. These findings are consistent with the current understanding of hemispheric specializations for reasoning and lend insight into previously observed epidemiological associations with fundamentalism, such as cognitive rigidity and outgroup hostility.

Development and Validation of the Tablet-Based ERAL Nonverbal Intelligence Test 5-17 (ERAL-NIT)

Intelligence has been extensively explored across various disciplines such as psychology, cognitive science, and neurology. Countless scholars have delved into understanding why certain individuals exhibit higher mental acuity and knowledge. Consequently, numerous studies aim to unveil the essence of intelligence and gauge human cognitive capacity. This study introduces and validates the ERAL Nonverbal Intelligence Test (ERAL-NIT) for children aged 5 to 17. Unlike many existing tests, ERAL-NIT is nonverbal, accommodating diverse linguistic backgrounds. Moreover, it incorporates parental assessments, enhancing its holistic approach. Administered via tablet with specialized software, ERAL-NIT provides comprehensive reports to practitioners and families. Its development integrates analyses of hemispheric specialization and executive functions of different brain areas. Content validity is ensured through expert input, while criterion validity is established by comparing results with established assessments and medical diagnoses. ERAL-NIT yields insights into pervasive developmental disorders, specific learning disabilities, attention deficits, and language disorders, thereby enriching diagnostic practices.

Distribution of control during bimanual movement and stabilization

In two-handed actions like baseball batting, the brain can allocate the control to each arm in an infinite number of ways. According to hemispheric specialization theory, the dominant hemisphere is adept at ballistic control, while the non-dominant hemisphere is specialized at postural stabilization, so the brain should divide the control between the arms according to their respective specialization. Here, we tested this prediction by examining how the brain shares the control between the dominant and non-dominant arms during bimanual reaching and postural stabilization. Participants reached with both hands, which were tied together by a stiff virtual spring, to a target surrounded by an unstable repulsive force field. If the brain exploits each hemisphere’s specialization, then the dominant arm should be responsible for acceleration early in the movement, and the non-dominant arm will be the prime actor at the end when holding steady against the force field. The power grasp force, which signifies the postural stability of each arm, peaked at movement termination but was equally large in both arms. Furthermore, the brain predominantly used the arm that could use the stronger flexor muscles to mainly accelerate the movement. These results point to the brain flexibly allocating the control to each arm according to the task goal without adhering to a strict specialization scheme.

Atlas for the Lateralized Visuospatial Attention Networks (ALANs): Insights from fMRI and network analyses

Abstract Hemispheric specialization is central to human evolution and fundamental to human cognitive abilities. While being a defining feature of functional brain architecture, hemispheric specialization is overlooked to derive brain parcellations. Alongside language, which is typically lateralized in the left hemisphere, visuospatial attention is set to be its counterpart in the opposite hemisphere. However, it remains uncertain to what extent the anatomical and functional underpinnings of lateralized visuospatial attention mirror those supporting language. Building on our previous work, which established a lateralized brain atlas for language, we propose a comprehensive cerebral lateralized atlas delineating the anatomo-functional bases of visuospatial attention, Atlas for Lateralized visuospatial Attentional Networks (ALANs). Combining task and resting-state functional connectivity analyses, we identified 95 lateralized brain areas comprising three networks supporting visual (visu), motor (somato-motor), and spatial processing (posterior-medial) processes at work during a line judgment bisection task, and two large-scale networks related to integrated visuospatial attention processes, the parieto-frontal and temporo-frontal networks. We identify hubs playing a pivotal role in the intra-hemispheric interaction within visuospatial attentional networks. The rightward lateralized parieto-frontal encompasses one hub, the inferior frontal sulcus, while the temporo-frontal network encompasses two right hubs: the inferior frontal cortex (pars triangularis and the anterior insula) and the posterior part of the superior temporal sulcus. Compared with our language lateralized atlas, we demonstrated that specific regions within these networks encompass the homotope of the language network from the left hemisphere. This atlas of visuospatial attention provides valuable insights for future investigations into the variability of visuospatial attention and hemispheric specialization research. Additionally, it facilitates more effective comparisons among different studies, thereby enhancing the robustness and reliability of research in the field of attention.

Verbal semantic expertise is associated with reduced functional connectivity between left and right anterior temporal lobes.

The left and right anterior temporal lobes (ATLs) encode semantic representations. They show graded hemispheric specialization in function, with the left ATL contributing preferentially to verbal semantic processing. We investigated the cognitive correlates of this organization, using resting-state functional connectivity as a measure of functional segregation between ATLs. We analyzed two independent resting-state fMRI datasets (n= 86 and n= 642) in which participants' verbal semantic expertise was measured using vocabulary tests. In both datasets, people with more advanced verbal semantic knowledge showed weaker functional connectivity between left and right ventral ATLs. This effect was highly specific. It was not observed for within-hemisphere connections between semantic regions (ventral ATL and inferior frontal gyrus (IFG), though it was found for left-right IFG connectivity in one dataset). Effects were not found for tasks probing semantic control, nonsemantic cognition, or face recognition. Our results suggest that hemispheric specialization in the ATLs is not an innate property but rather emerges as people develop highly detailed verbal semantic representations. We speculate that this effect is a consequence of the left ATL's greater connectivity with left-lateralized written word recognition regions, which causes it to preferentially represent meaning for advanced vocabulary acquired primarily through reading.

Reading Left-To-Right and Right-To-Left Orthographies: Ocular Prevalence, Similarities, Differences and the Reasons for Orthographic Conventions

ABSTRACT Purpose We compare right-to-left and left-to-right orthographies to test the theory, derived from studying the latter, that small temporal asynchronies between the two eyes at the beginning and end of every fixation favor ocular prevalence for the left eye in the left hemifield and the right eye in the right hemifield. Ocular prevalence is the prioritizing of one eye’s input in the conscious, fused binocular percept. Method We analyze binocular eye-tracking data from the reading of multiline Arabic and Hebrew text by 28 Arabic (M = 28.7, SD = 7.2 years, 71% female) and 16 Hebrew (M = 30.1, SD = 7.9 years, 50% female) native speakers, respectively. Results Critically, the complex pattern of asynchronies in Arabic and Hebrew resembles that reported for the left-to-right orthographies, English and Chinese, but with some particular differences that we attribute to left hemisphere specialization in word recognition. Conclusion We conclude, first, that the oculomotor musculature plays an embodied role in the perception and cognition associated with reading. We further discuss how the evident hemispheric asymmetries in parafoveal lookahead may be reflected in the nature of the conventions of right-to-left scripts. We articulate the claim that the orthographic conventions of a language tend to reflect reading direction and hemispheric differences.

Insights on cognitive reorganization after hemispherectomy in Rasmussen's encephalitis. Anarrative review.

Rasmussen's encephalitis is a rare neurological pathology affecting one cerebral hemisphere, therefore, posing unique challenges. Patients may undergo hemispherectomy, a surgical procedure after which cognitive development occurs in the isolated contralateral hemisphere. This rare situation provides an excellent opportunity to evaluate brain plasticity and cognitive recovery at a hemispheric level. This literature review synthesizes the existing body of research on cognitive recovery following hemispherectomy in Rasmussen patients, considering cognitive domains and modulatory factors that influence cognitive outcomes. While language function has traditionally been the focus of postoperative assessments, there is a growing acknowledgment of the need to broaden the scopeof language investigation in interaction with other cognitive domains and to consider cognitive scaffolding in development and recovery. By synthesizing findings reported in the literature, we delineate how language functions may find support from the right hemisphere after left hemispherectomy, but also how, beyond language, global cognitive functioning is affected. We highlight the critical influence of several factors on postoperative cognitive outcomes, including the timing of hemispherectomy and the baseline preoperative cognitive status, pointing to early surgical intervention as predictive of better cognitive outcomes. However, further specific studies are needed to confirm this correlation. This review aims to emphasize a better understanding of mechanisms underlying hemispheric specialization and plasticity in humans, which are particularly important for both clinical and research advancements. Thisnarrative review underscores the needfor an integrative approach based on cognitive scaffolding to provide a comprehensive understanding of mechanisms underlying the reorganization in Rasmussen patients after hemispherectomy.

Bayesian modelling disentangles language versus executive control disruption in stroke.

Stroke is the leading cause of long-term disability worldwide. Incurred brain damage can disrupt cognition, often with persisting deficits in language and executive capacities. Yet, despite their clinical relevance, the commonalities and differences between language versus executive control impairments remain under-specified. To fill this gap, we tailored a Bayesian hierarchical modelling solution in a largest-of-its-kind cohort (1080 patients with stroke) to deconvolve language and executive control with respect to the stroke topology. Cognitive function was assessed with a rich neuropsychological test battery including global cognitive function (tested with the Mini-Mental State Exam), language (assessed with a picture naming task), executive speech function (tested with verbal fluency tasks), executive control functions (Trail Making Test and Digit Symbol Coding Task), visuospatial functioning (Rey Complex Figure), as well as verbal learning and memory function (Soul Verbal Learning). Bayesian modelling predicted interindividual differences in eight cognitive outcome scores three months after stroke based on specific tissue lesion topologies. A multivariate factor analysis extracted four distinct cognitive factors that distinguish left- and right-hemispheric contributions to ischaemic tissue lesions. These factors were labelled according to the neuropsychological tests that had the strongest factor loadings: One factor delineated language and general cognitive performance and was mainly associated with damage to left-hemispheric brain regions in the frontal and temporal cortex. A factor for executive control summarized mental flexibility, task switching and visual-constructional abilities. This factor was strongly related to right-hemispheric brain damage of posterior regions in the occipital cortex. The interplay of language and executive control was reflected in two distinct factors that were labelled as executive speech functions and verbal memory. Impairments on both factors were mainly linked to left-hemispheric lesions. These findings shed light onto the causal implications of hemispheric specialization for cognition; and make steps towards subgroup-specific treatment protocols after stroke.