MOST humans have a left hemispheric dominance for language. However, d
uring diagnostic language testing there also is activation of the righ
t hemisphere, which is probably related to attention. To investigate f
urther the role of attention during language production we monitored c
erebral blood flow velocities in the middle cerebral arteries by conti
nuous bilateral transcranial Doppler ultrasonography (TCD) in nine rig
ht-handed subjects. During cued word generation, a successive activati
on of the right hemisphere in the preparatory phase, and of the left h
emisphere during word searching was demonstrated. These findings indic
ate that attentional processes precede verbal activation and that the
two procedures can be separated by comparative blood flow velocity mea
surement.