Light touch thresholds in normal persons and cerebral vascular disease patient: bilateral deficit after unilateral...

Sensory thresholds, using the 2-alternative forced choice technique, were studied in normal subjects and in patients with unilateral cerebral vascular disease, as documented by clinical-radiologic correlation. In normal person the absolute threshold for light touch increased with age. Bilateral impairment of sensation with unilateral cerebral vascular lesions occurred in 30% of the patients. Tactile deficit was always greater on the side contralateral to infarction or hemorrhage. An ipsilateral deficit did not exist independent of contralateral deficity, and was more likely to occur with complete sensory loss contralaterally. There was a tendency for persons with larger lesions as determined clinically and by CAT scan to have ipsilateral as well as contralateral deficit. The incidence or severity of ipsilateral deficit was not related to lesion laterality.