Brain functions may be lateralized to the right or the left hemisphere. However, the biochemical characteristics accompanying these functions are largely unknown. To test possible lateralization of striatal dopamine D-2 receptors, we examined 18 volunteers using I-123-iodobenzamide and single photon emission tomography. The striatum-to-cerebellum D-2 binding ratio was 1.93 +/- 0.22 (mean +/- S.D.) on the right side and 1.85 +/- 0.19 on the left side. In 14 subjects, D-2 binding was higher in the right compared to the left striatum (P < 0.05). These results are supported by a mete-analysis performed on 15 studies reported in the literature. We conclude that side differences of striatal dopamine D-2 receptors exist. We propose that motor activity could be responsible for our findings. ((C) 1998 Lippincott Williams & Wilkins).