Pattern of ipsilateral clinical extinction in brain-damaged patients

A test of double tactile simultaneous stimulation was given to 212 patients affected by focal (178) or diffuse (34) cerebral lesions to study the order of dominance between face, hand, and foot. Both in focal and in diffuse brain-damaged patients, a striking dominance of the face over the hand and foot was found. No significant difference between hand and foot was seen, but a mild prevalence of the foot over the hand was suggested by a cumulative analysis of our results. These findings do not support the hypothesis of a continuous downward gradient of dominance from rostral to caudal regions of the body.