Transcranial Doppler ultrasonography (TCD) permits the assessment of cognitively induced cerebral blood flow velocity (BFV) changes. We sought to investigate the lateralization of BFV acceleration induced by auditory stimulation and speech in a normal population. TCD monitoring of BFV in the middle cerebral arteries (MCA) was performed in 30 normal right-handed volunteers (average age = 31.7 years). Noise stimulation, speech, and instrumental music were administered during 60 sec to both ears by means of earphones. Auditory stimulation induced a significant BFV increase in the ipsilateral MCA compared to BFV during the preceding rest periods. Left MCA BFV increased by an average of 7.1% (noise), 8.4% (language), and 5.2% (melody) over baseline values, and right MCA BFV increased 5.1%, 3.1%, and 4.2%, respectively. Speech stimulation produced a significant increase in BFV in the left hemisphere MCA (from 49.86 to 54.03 cm/sec; p < .0001). Left MCA BFV response to speech stimulation may reflect the dominance of the left hemisphere in language processing by right-handed individuals. Due to the high temporal resolution of TCD we were able show a habituation effect during the 60-sec stimulation period.