Studies of intellectual functioning in children with focal brain lesio
ns have yielded inconsistent results. Some show a lateralizing pattern
similar to that found in adults; others do not. We studied Wechsler I
Q patterns in children with early onset focal brain lesions and matche
d controls. Subjects with left hemisphere (LH) and right hemisphere (R
H) focal lesions exhibited a significant decrement in Full Scale IQ. V
erbal IQ (VIQ), and Performance IQ (PIQ) compared to controls. VIQ and
PIQ were similar within the LH group, whereas VIQ was significantly h
igher than PIQ within the RH group. The picture painted by our results
is one of partial compensation and/or reorganization against a backdr
op of global decrements in cognitive functioning.