Healthy dextrals underwent fMRI during a task of graphesthesia
requiring detection of any number written consecutively from
an otherwise random number sequence. Test conditions included
(1) focus on unilateral right hand stimuli, (2) focus on unilateral
left hand stimuli, (3) focus on right hand only during bilateral
hand stimulation, (4) focus on left hand only during bilateral
hand stimulation, and (5) rest. Attention to unilateral hand
stimulation produced bihemispheric activation with minimal or
no activation of ipsilateral primary sensorimotor region. Attention
to unilateral left hand stimuli resulted in more activation
than attention to unilateral right hand stimuli. Stimulation
of the nonattended hand activated the contralateral somatosensory
area, but to a lesser spatial extent than attended stimuli.
Comparing focused attention to the left versus right
side during identical sensory inputs (i.e., bilateral hand
stimulation), focused attention to the right hand increased
activation in the left somatosensory region, but focused attention
to the left hand increased activation in both cerebral hemispheres.
Thus, focused attention to unilateral somatosensory stimuli
produces bilateral cerebral activation, but the increase in
blood flow is greater in the contralateral hemisphere. Unattended
stimuli activate the contralateral primary somatosensory area.
Left/right asymmetries were demonstrated consistent with cerebral
lateralization. (JINS, 2002, 8, 349–359.)