Visual mental imagery is the faculty whereby we can "visualize" objects that are not in our line of sight. Longstanding evidence dating back over thirty years has shown that unilateral brain lesions, especially in the left temporal lobe, can impair aspects of this ability. Yet, there is currently no attempt to identify analogies between these neuropsychological findings of hemispheric asymmetry and those from other neuroscientific approaches. Here, we present a critical review of the available literature on the hemispheric laterality of visual mental imagery, by looking at cross-method patterns of evidence in the domains of lesion neuropsychology, neuroimaging, and direct cortical stimulation. Results can be summarized under three main axes. First, frontoparietal networks in both hemispheres appear to be associated with visual mental imagery. Second, lateralization patterns emerge in the temporal lobes, with the left inferior temporal lobe being the most common finding in the literature for endogenously generated images, especially, but not exclusively, when orthographic material is used to ignite imagery. Third, an opposite pattern of hemispheric laterality emerges when visual mental images are induced by exogenous stimulation; direct cortical electrical stimulation tends to produce visual imagery experiences predominantly when applied to the right temporal lobe. These patterns of hemispheric asymmetry are difficult to reconcile with the dominant model of visual mental imagery, which emphasizes the implication of early sensory cortices. They suggest instead that visual mental imagery relies on large-scale brain networks, with a crucial participation of high-level visual regions in the temporal lobes.In the new age (mis)reading of Roger Sperry's work (reviewed by Bartolomeo 2020), the left hemisphere is considered to be the seat of logical, analytic thinking, whereas the right hemisphere would be visual, free, and creative. Such way of thinking naturally suggested a privileged role for the right hemisphere in visual mental imagery. Defined as the capacity to "visualize" things that are not in our direct line of sight, by using our "mind's eye", visual mental imagery can indeed be considered as the most creative among the visual abilities.Here, we performed a critical review of the available literature on the hemispheric laterality of visual mental imagery, and examined patterns of results in the domains of lesion neuropsychology, neuroimaging, and direct cortical stimulation, by selecting the relevant published literature in English, to the best of our knowledge.
Evidence from patients with acquired brain damageThe detailed study of patients with unilateral brain lesions has traditionally provided crucial causal evidence for neural models of cognitive functions (Bartolomeo 2011,