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Updated: Aug 11, 2026

Assessment of Midline Lingual Point-Pressure Somatosensation Using Von Frey Hair Monofilaments
Published on: February 21, 2020
Unmyelinated tactile afferents underpin detection of low-force monofilaments
Jonathan Cole1, M Catherine Bushnell, Francis McGlone
1Department of Clinical Neurophysiology, Poole Hospital and University of Bournemouth, Bournemouth, United Kingdom.
Abstract:
Human hairy but not glabrous skin has unmyelinated (C) tactile (CT) afferents that project to insular cortex. We studied two subjects with the rare sensory neuronopathy syndrome who lack A-beta fibers but have relatively preserved C-fiber function. Weak monofilaments were detected on hairy skin alone. Hence, the ability to detect light touch does not depend entirely on the A-beta somatosensory system; CT afferents may contribute to the detection of weak monofilaments.
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