Hemispheric lateralization of number comparison

In order to clarify the respective contribution of the right and left posterior parietal cortex (PPC) to number comparison, transcranial magnetic stimulation (TMS) was used to disrupt PPC processing in subjects instructed to determine whether a digit was smaller or larger than 5. Single pulse TMS was applied over the PPC, either unilaterally or bilaterally, 150, 200, or 250 ms after digit presentation. Sham TMS was used as a control condition to take into account the unspecific effects of TMS on reaction time (RT). The main finding of the present study is a significant increase in RTs when comparing digits close to 5 following a disruption either of the left PPC alone or of both PPC simultaneously. The comparison of digits far from 5 was unaltered by disrupting only one PPC but RTs were found increased after bilateral PPC stimulation. These disruptive effects were observed irrespective of the TMS delay. We concluded that coding precise numerical values requires the integrity of the left PPC, as suggested by the deficit in discriminating close digits consequent to its disruption. In contrast, approximate comparisons can be processed either by the left or right PPC, since simultaneous bilateral TMS was needed to alter the comparison of digits far from 5.