Following peripheral-nerve lesions there are well-documented events that af
fect the contralateral nonlesioned structures. These contralateral effects
are qualitatively similar to those occurring at the ipsilateral side, but a
re usually smaller in magnitude and have a briefer time course. It is uncle
ar whether the findings are an epiphenomenon or serve a biological purpose,
but in either case the existence of these effects implies the presence of
unrecognized signalling mechanisms that: link the two sides of the body. St
rong circumstantial evidence argues against a peripheral mechanism (for exa
mple, via circulating factors) and in favour of a central mechanism, in par
ticular signalling via the system of commissural interneurons that is prese
nt in spinal cord and brainstem. While an altered pattern of activity in th
is system might underlie the phenomenon, there are several reasons for prop
osing that the changes depend upon chemical signals, possibly growth factor
s. Because of its relative easy access for experimental manipulation, the s
pinal cord could serve as a model system to study these transmedian signall
ing systems.