This study was aimed at demonstrating the existence of a biased postur
al vertical in humans with a recent cerebral lesion. The postural vert
ical of patients and controls was analysed comparatively using a self-
regulated balancing task, performed in sitting posture. Patients displ
ayed a quite constant (19/22) contralesional tilt of the postural vert
ical (mean -2.6 degrees), varying with the severity of their spatial n
eglect and hemianaethesia. Eight of them showed a pathological contral
esional bias (mean -5.5 degrees) as compared to normals. This result i
ndicates an asymmetric process of somatic graviceptive information due
to some cerebral lesions. When patients were subjected to a transcuta
neous electrical stimulation applied onto the contralesional side of t
he neck, body verticality was especially improved in those who showed
a pathological bias in the postural vertical. This effect could thus b
e due to a reduced distortion in the egocentric co-ordinate system for
spatial information processing. (C) 1998 Elsevier Science Ireland Ltd
. All rights reserved