Four cerebellar subregions were delineated (left, right; anterior, pos
terior), and their volumes measured on contiguous 3.1 mm coronal MR im
ages in 15 dextral and 8 nondextral healthy control subjects. (1) Left
and right cerebellar hemisphere volume asymmetries interacted with an
terior-posterior level (anterior: right>left; posterior: left>right),
following a pattern commonly found in the neocortex; (2) A significant
handedness effect was found (P<0.01) on a composite index of cerebell
ar asymmetry, such that dextrals showed more asymmetry than nondextral
s. These data suggest that the same pattern of asymmetries observed at
the neocortical level is also present in the metencephalon. These asy
mmetries, possibly resulting from multiple developmental growth gradie
nts acting on the metencephalon early in gestation, are associated wit
h handedness differences in adulthood.