Affective prosody, or the changes in rate, rhythm, pitch, and loudness that convey emotion, has long been implicated as a function of the right hemisphere (RH), yet there is a dearth of literature identifying the specific neural regions associated with its processing. The current systematic review aimed to evaluate the evidence on affective prosody localization in the RH. One hundred and ninety articles from 1970 to February 2020 investigating affective prosody comprehension and production in patients with focal brain damage were identified via database searches. Eleven articles met inclusion criteria, passed quality reviews, and were analyzed for affective prosody localization. Acute, subacute, and chronic lesions demonstrated similar profile characteristics. Localized right antero-superior (i.e., dorsal stream) regions contributed to affective prosody production impairments, whereas damage to more postero-lateral (i.e., ventral stream) regions resulted in affective prosody comprehension deficits. This review provides support that distinct RH regions are vital for affective prosody comprehension and production, aligning with literature reporting RH activation for affective prosody processing in healthy adults as well. The impact of study design on resulting interpretations is discussed.

情感韵律，即传达情感的速率、节奏、音调和响度的变化，长期以来一直被认为是右半球 (RH) 的功能，但缺乏文献来确定与其处理相关的特定神经区域。当前的系统评价旨在评估 RH 中情感韵律定位的证据。通过数据库搜索，找到了 190 篇从 1970 年到 2020 年 2 月研究局灶性脑损伤患者情感韵律理解和产生的文章。 11 篇文章符合纳入标准，通过了质量审查，并进行了情感韵律本地化分析。急性、亚急性和慢性病变表现出相似的轮廓特征。局部右前上（即背侧流）区域导致情感韵律产生障碍，而后外侧（即腹侧流）区域的损伤导致情感韵律理解缺陷。本综述支持不同的 RH 区域对于情感韵律的理解和产生至关重要，与报道 RH 激活对健康成人情感韵律处理的文献一致。讨论了研究设计对结果解释的影响。