A human brain has separate left and right cerebral cortices, each of which must
be continuously structurally maintained during adulthood. There is no
understanding of how ongoing structural maintenances of separate parts of a
mature individual brain, including the 2 cortices, are related. To explore this
issue, this study used an unconventional N-of-1 magnetic resonance imaging
time-series paradigm to identify relationships between maintenances of
structural thicknesses of the 2 cortices in an adult human brain over week
intervals for 6 months. The results suggest that maintenances of left and right
cortical thicknesses were symmetrically related in some, but asymmetrically
related in other, respects. For matched times, thickness magnitudes and
variations on the 2 sides were positively correlated and appeared to reflect
maintenance symmetry. Maintenance relationships also extended from earlier to
later times with temporal continuity and apparent “if-then” contingencies which
were reflected in symmetry and asymmetry dynamics spanning 1- to 2-week periods.
The findings suggest concepts of individual brain cortical maintenance symmetry,
asymmetry, and temporal continuity dynamics that have not been previously
recognized. They have implications for defining cortical maintenance traits or
states and for development of N-of-1 precision medicine paradigms that can
contribute to understanding individual brain health.