The present article is an assessment of the current state of knowledge in t
he field of cognitive neuroscience of signed language. Reviewed lesion data
show that the left hemisphere is dominant for perception and production of
signed language in aphasics, in a fashion similar to spoken language aphas
ia. Several neuropsychological dissociations support this claim: Nonlinguis
tic visuospatial functions can be dissociated from spatial functions and ge
neral motor deficits can be dissociated from execution of signs. Reviewed i
maging data corroborate the lesion data in that the importance of the left
hemisphere is re-confirmed. The data also establish the role of the right h
emisphere in signed language processing. Alternative hypotheses regarding w
hat aspects of signed language processing are handled by the right hemisphe
re are currently tested. The second section of the paper starts by addressi
ng the role that early acquisition of signed and spoken language play for t
he neurofunctional activation patterns in the brain. Compensatory cognitive
and communicative enhancements have also been documented as a function of
early sign language use, suggesting an interesting interaction between lang
uage and cognition. Recent behavioural data on sign processing in working m
emory - a cognitive system important for language perception and production
suggest e.g. phonological loop effects analogous to those obtained for spe
ech processing. Neuroimaging studies will have to address this potential co
mmunality. (C) 2000 Elsevier Science B.V. All rights reserved.