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Laterality: Asymmetries of Body,


Brain and Cognition
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The evolution of contralateral


control of the body by the brain:
Is it a protective mechanism?
a b
Lorne Whitehead & Saleh Banihani
a
Department of Physics and Astronomy, University of
British Columbia, Vancouver, Canada
b
Department of Anatomy, Jordan University of Science
and Technology, Irbid, Jordan
Published online: 12 Aug 2013.

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To cite this article: Lorne Whitehead & Saleh Banihani (2014) The evolution of
contralateral control of the body by the brain: Is it a protective mechanism?,
Laterality: Asymmetries of Body, Brain and Cognition, 19:3, 325-339, DOI:
10.1080/1357650X.2013.824461

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Laterality, 2014
Vol. 19, No. 3, 325339, http://dx.doi.org/10.1080/1357650X.2013.824461

The evolution of contralateral control of the body by the


brain: Is it a protective mechanism?

Lorne Whitehead1 and Saleh Banihani2


1
Department of Physics and Astronomy, University of British
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Columbia, Vancouver, Canada


2
Department of Anatomy, Jordan University of Science and
Technology, Irbid, Jordan

Contralateral control, the arrangement whereby most of the human motor and
sensory fibres cross the midline in order to provide control for contralateral
portions of the body, presents a puzzle from an evolutionary perspective. What
caused such a counterintuitive and complex arrangement to become dominant? In
this paper we offer a new perspective on this question by showing that in a
complex interactive control system there could be a significant net survival
advantage with contralateral control, associated with the effect of injuries of
intermediate severity. In such cases an advantage could arise from a combination
of non-linear system response combined with correlations between injuries on the
same side of the head and body. We show that a simple mathematical model of
these ideas emulates such an advantage. Based on this model, we conclude that
effects of this kind are a plausible driving force for the evolution of contralateral
control.

Keywords: Contralateral control; Non-linear system response; Mobility impair-


ment; Evolution of contralateral control; Injury correlation.

A well-known characteristic of the human brain is that it has different features


on the left and right side. Perhaps less well known is the existence of brain
asymmetries in all vertebrate classes (MacNeilage, Rogers, & Vallortigara,
2009; Rogers & Andrew, 2002; Vallortigara, Chiandetti, & Sovrano, 2011;
Vallortigara & Rogers, 2005) and in fact recently considerable evidence of
brain lateralisation has been found in invertebrates as well (Frasnelli,
Vallortigara, & Rogers, 2012). Given that one of the important features of

Address correspondence to: Lorne Whitehead, Department of Physics and Astronomy,


University of British Columbia, Vancouver, Canada. E-mail: lorne.whitehead@ubc.ca

# 2013 Taylor & Francis


326 WHITEHEAD AND BANIHANI

the brain is to control the body via the nervous system, it is natural to consider
two possible modes of control, the most straightforward being ipsilateral
control in which left portions of the brain interact with left portions of the
body and similarly right with right. However, another possibility is
contralateral control in which left brain portions interact with right body
portions and vice versa.
Although both control types are possible, ipsilateral control might seem
to be a simpler, and possibly more likely, evolutionary development than
contralateral control. Furthermore, ipsilateral control could potentially be a
more adaptive arrangement because, in the event of a widespread injury on
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just one side of the body, the non-damaged brain portion would be able to
control the corresponding non-damaged body portion on the other side. In
contrast, with contralateral control in such a situation, motor control of
both sides of the body would be impaired (on one side due to body damage
and on the other due to brain damage.) From this perspective it may seem
surprising that, over the course of evolution, contralateral control became
common in vertebrates and has come to dominate to the point that most of
the human motor and sensory fibres cross the midline in order to provide
control for contralateral portions of the body.
Motor control is provided by the reticulospinal, vestibulospinal, rubrosp-
inal, and corticospinal fibres. The vast majority of these fibres cross the
midline. The reticulospinal and vestibulospinal fibres control the trunk and
descend bilaterally. The mostly crossed rubrospinal fibres and the completely
crossed corticospinal fibres control the limbs. The bilateral reticulospinal
and vestibulospinal fibres are the most primitive and the oldest motor fibres
and are present even in the limbless species. The mostly crossed rubrospinal
fibres are present only in species with pseudolimbs or limbs and occur after
the reticulospinal and vestibulospinal fibres and before the corticospinal
fibres (Serge, Raineteau & Jabaudon, 2005). This may indicate that the
evolution of the rubrospinal fibres coincides with the evolution of
pseudolimbs, as are found, for example, in some segmented worms. The
completely crossed corticospinal fibres are the most recent motor fibres in
evolution and are present only in species with limbs.
This coincidence between evolution of more crossed fibres and evolution
of pseudolimbs and limbs represents the basis for a recent hypothesis
(Banihani, 2009) to explain the phenomena of fibre crossings in the central
nervous system (CNS). According to this hypothesis the occurrence of
separated parts of the body such as limbs and eyes created a need for
functional binding between the two halves of the CNS, and in some way
this need served as an evolutionary stimulus leading to the crossed
arrangement for the sensory and motor fibres that serve such separated
parts. This hypothesis is consistent with the fact that all fibres that carry
separated information (such as spinothalamic fibres, medial lemniscus,
EVOLUTION OF CONTRALATERAL CONTROL 327

fibres that carry monocular vision, and corticospinal fibres) do cross the
midline and all fibres that carry shared information (such as olfactory fibres
and fibres that carry binocular vision) do not. However it is not clear how
the need for functional coordination and information transfer between the
two halves of the CNS would lead to the evolution of the contralateral
control arrangement.
Other hypotheses that explain the emergence of contralateral control
concentrate mainly on crossing of sensory pathways. These are often called
the ‘‘avoidance behaviour hypothesis’’ (Cajal, 1899), the ‘‘image-forming eye
hypothesis’’ (Sarnat & Nesky, 1976), the ‘‘binocularity (binocular vision)
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hypothesis’’ (Serge et al., 2005), and the ‘‘bilaterality hypothesis’’ (Polyak,


1957, pp. 776783). None of these hypotheses provides an adequate
explanation for the evolution of contralateral control (Doty, 2003; Serge et
al., 2005; Sarnat & Netsky, 1976). The avoidance behaviour hypothesis,
which asserts that the crossed fibres help animals to escape from danger, can
explain fibres crossing in the spinal cord to mediate protective spinal reflexes,
but cannot explain fibres crossing in the brain such as the corpus callosum,
the medial lemniscus, and the corticospinal tract. The image-forming eye
hypothesis assumes that fibre crossings occur to correct image inversion and
a midline discontinuity caused by properties of the eye’s optics. This
hypothesis cannot explain the differences between the visual pathways in
the frontal-eye animals and the lateral-eye animals. The eyes in both cases
act as image-forming machines and therefore differences between their visual
pathways are not expected. Also, in the lateral-eye species, each eye receives
monocular vision only and complete images are formed on each retina
without image discontinuity. Despite this, all retinal fibres in these species
cross the midline. The binocularity hypothesis suggests that retinal fibres
cross the midline due to the binocular vision. This hypothesis cannot explain
the fact that, in the lateral-eye species, all retinal fibres cross the midline.
Even in the frontal-eye species, the monocular retinal fibres cross the midline
while the binocular retinal fibres run ipsilaterally. Finally, the bilaterality
hypothesis suggests that fibres cross the midline because the neuronal
pathways are bilaterally symmetrical. The bilaterality hypothesis cannot be
valid because the olfactory pathways of the two sides, which are symmetrical
both structurally and functionally, run ipsilaterally. Also, it cannot explain
the differences in the visual pathways in the frontal-eye animals and lateral-
eye animals.
In this paper we present a more nuanced consideration of the brainbody
interaction and show that in a more complete model there can actually be a
strong advantage to contralateral control. We suggest that this may be an
important contributing factor to the widespread evolution of contralateral
control of the body by the brain.
328 WHITEHEAD AND BANIHANI

CONSIDERATIONS OF MOBILITY IMPAIRMENT


AND SURVIVAL
Evolutionary arguments require consideration of factors that affect prob-
ability of survival and procreation. Given the huge complexity of such
considerations, generally the goal of such speculation is not certainty but
instead an argument of reasonable plausibility, ideally one that offers a
simpler explanation and a new perspective.
Out of the wide range of factors affecting survival and procreation, we
focus here on the critical animal characteristic of mobility. Mobility enables
animals to avoid predators and to reach locations that are more conducive to
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survival. Mobility also enables an animal to find food, water, and suitable
mates. For all these reasons there would be a significant evolutionary
advantage favouring the development of anatomical features that lessen the
chance of losing mobility. Here we propose that contralateral control could
provide such an advantage. Our argument relies on general considerations of
the mobility task, from the perspective of control theory.
Animal mobility is made possible by a complex system of interactions
within and between the body and the brain, one that involves control
information passing from the brain to the body and sensory information
passing from the body to the brain. The incredible accuracy required for
successful rapid navigation in a complex environment is achieved by
countless intertwined feedback loops. In general, such complex systems
have certain characteristics that arise from their use of the feedback
principle as well as from various forms of redundancy. Such systems can
be remarkably resilient and also remarkably adaptive to changes in
circumstances. In the very common example of operational amplifiers, for
example, the gain is normally determined almost entirely by a negative
feedback loop, so in the event that a temperature increase changes the
intrinsic gain of the operational amplifier itself, the overall circuit
performance remains essentially unchanged. In the case of animal mobility
there would have been strong selection pressure towards such characteristics.
For example, if muscles are fatigued and therefore less responsive than
usual, the brain, through feedback, will compensate by appropriately
adjusting its control signals. If a limb is slightly injured, the brain may
select a gait that reduces risk of further injury, favouring the hurt limb until
it can recover. The well-known phenomenon of plasticity in both brain and
muscle tissue contributes to such compensation. Thus complex systems
involving feedback, adjustment, compensation, and redundancy are needed
to support robust mobility.
There are two overarching considerations concerning the performance of
such a system in the event of injury. The first involves the diverse range of
possible injury severity. From an evolutionary perspective, injuries that are
EVOLUTION OF CONTRALATERAL CONTROL 329

severe enough to prevent mobility are irrelevant, because they are effectively
fatal. Similarly, injuries that are too minor to noticeably impair mobility are
also irrelevant. Here we must consider injuries that are of an intermediate
nature; those that are serious enough to reduce mobility but only to a
limited extent, so that the injured animal may be able to survive long
enough to heal and regain full function. The second consideration is that
the brainbody system has considerable reserve capacity, which means that
it is possible for moderate injuries to cause little degradation in mobility,
and thus survival and recovery may indeed be possible. In summary, we
need to consider the effect of injuries of intermediate severity on a complex
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interactive system of brain and body, one that has significant reserve
capacity.
Often it is helpful to try to model such dependencies in an approximate
quantitative manner. This is not to suggest that such models are literal
representations of actual characteristics, but nevertheless they may be
helpful in showing certain simple and important regularities. For example,
the field of control theory contains significant mathematical analysis of the
advantages and subtleties of complex feedback-based control systems
(Åström & Murray, 2008). Generally, a key theme of such work is that
continual adjustment, based on multiple redundant forms of feedback and
over multiple time frames, makes it possible for intrinsically inaccurate
system components to work together to produce very accurate, reliable
outcomes. An animal running rapidly through the jungle is an extremely
sophisticated example of such a system.
Such systems typically have another key characteristic that is essential for
their robustness: a non-linear response to intensity of injury. This is perhaps
best illustrated in the findings in the field of percolation theory (Kirkpatrick,
1973), in which a model network is studied. For example, the model could be
a lattice of connected resistors in which a certain fraction, f, of the resistors is
randomly removed. The electrical resistance of the overall network is then
studied as a function of f. There are many different variations, most of which
show a similar behaviour: When a small fraction of the resistors is destroyed,
there is only a small change in resistance, but as the fraction f approaches
some critical value the resistance increases catastrophically*the system’s
ability to operate is lost. This type of non-linearity is a common
characteristic of complex, redundant systems. From this perspective, in
order to specifically consider the case of the brainbody control problem, it
is helpful to consider a simple mathematical model of how the degree of
mobility impairment may be related to the severity of injury. In doing so we
are not attempting to prove that any one simple model in fact predominated
throughout evolution*we simply wish to demonstrate that the plausibility
of models that favour contralateral control.
330 WHITEHEAD AND BANIHANI

MATHEMATICALLY MODELLING THE DEPENDENCE OF


MOBILITY IMPAIRMENT
For simplicity, we will describe the harm an animal experiences in an
injurious event by a ‘‘destruction fraction’’ f, between 0 and 1, in analogy to
percolation theory. For example, in some cases f could represent the fraction
of muscle cells or neurons compromised in a blunt impact*but these specific
details need not concern us here. The primary principle we will rely on is a
non-linear response of this system. If we use the symbol W to represent the
functionality (or ‘‘wellness’’) of the system after incurring the injury, then we
can represent the non-linear response in the following simple equation
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describing how W could depend on f:

W ¼ 1  fn (1)

In this model n is a fixed number, greater than 1, and its size indicates the
degree of non-linearity of the system response. Recall that f is a number
between 0 and 1 and so, therefore, is W. We will also assume that, after an
injury, an animal can survive and procreate only if W is greater than a
minimum required value of Ws. Figure 1 shows the relationship of W, f, and
Ws for an example value of n 4 and Ws 0.8.
To complete this simple picture, let us now assume that, when an injury
occurs, the amount of damage, f, is determined by chance, with an equal
likelihood of any value occurring within its range from 0 and 1. This means

Figure 1. Graph of wellness fraction W vs injury fraction f for the case n 4, with the straight line
segment indicating the value Ws.
EVOLUTION OF CONTRALATERAL CONTROL 331

that the probability of the value of f being below a given value x (chosen
between 0 and 1), is simply that value x. (For example, there is a 20% chance
that the randomly determined value of f will be less than 20%.) In turn,
considering equation (1) and the stated requirement for survival that, after
injury, W must exceed Ws, it then follows that the probability of survival, Ps,
will be given by:
p ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
Ps ¼ n
1  Ws (2)
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If we again take the example value for n of 4, and if we choose 0.8 as an


example value for Ws, then equation (2) tells us that in this system, p theffi
ffiffiffiffiffiffiffiffiffiffiffiffiffiffi
animal’s chance
pffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi of surviving a random injury will be Ps ¼ n
1  Ws
¼ 4 1  0  8 ffi 0  67. Note that this is a considerable improvement over
the situation if the non-linearity were not present*if we set n to 1 in this
model, thus eliminating the non-linearity, the probability of survival after
injury is only 0.20. Thus it can be seen that this simple model captures the
idea that survival is aided by the characteristics of self-compensating,
feedback-based systems.
Let us now consider more specifically a system comprising a control unit
(the brain) and a somewhat separate mobility system (the body). (For the
time being we will not consider the left and right sides, but we will add that
important detail later.) There are two key attributes of such a brainbody
system. The first is that they both must function well to support mobility.
The second is that there is a reasonable possibility that they will undergo
different degrees of injury. This means that the ideas mentioned above
should be generalised to separately consider the degree of injury to the brain
(here designated fbrain), and the degree of injury to the body (here designated
fbody). These can both be described by a random variable, as before, but now
we will need to consider how the wellness W of the whole system is related to
the level of injury of each these two subsystems. There are many possibilities;
here we present what is probably the simplest generalisation of equation (1)
for this purpose:
 n= n=2

2
W ¼ 1  fbrain fbody (3)

Although this is a simple model, it actually captures a sophisticated


concept, namely that a healthy brain can compensate for an injured body, to
some extent (by means of feedback-mediated correction) and similarly even
a weakened brain may be able to achieve adequate control if the body is in
top shape. As previously, we can evaluate in this model the likelihood that W
will exceed the required minimum value Ws. Doing so requires a statistical
332 WHITEHEAD AND BANIHANI

calculation that takes into account the degree to which the random values of
fbrain and fbody are correlated.
It is simplest to first consider the case in which of fbrain and fbody are
perfectly correlated; in other words they are always equal to the same value f.
In this case it is easy to show that equation (3) is equivalent to equation (1)
and so the probability of survival is the same as that discussed above*so if
we again take the example value for n of 4, and if we choose 0.8 for Ws, then
Ps $ 0×67.
Let us now consider, from the perspective of correlation, the opposite
extreme in which there is no correlation whatsoever between the severity of
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injury of the two areas. In this case the calculation is a bit more complex (see
Appendix A), but the results can still be expressed in full form. The summary
for the two cases is as follows:

p ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
ðaÞ full correlation : Ps ¼ n
1  Ws (4a)

2=n
ðbÞ no correlation : Ps ¼ zð1  lnðzÞÞ where z ¼ ð1  Ws Þ (4b)

Equation (4b) tells us that in the case of no correlation, using the example
value for n of 4, and again choosing 0.8 for Ws, then Ps $ 0 ×81, which is a
considerable improvement over the full correlation result which was of 0.67.
Importantly, in cases of an intermediate degree of correlation, the survival
probability would accordingly shift between the two extremes depicted by
equations (4a) and (4b). Put simply, correlation between brain injury and
body injury is bad for survival*the more correlation present, the lower the
chance of survival.
The numerical models and the parameters used in these examples were
not selected to produce a specific results and later we will look at diverse
ranges of values. The main concept being modelled is that the brain can
compensate for minor injuries to the body, and a healthy body can be
controlled by a slightly injured brain, but the combination of relatively
minor injuries to both the body and the brain can be fatal. Therefore
anything that reduces the chance of simultaneous injury of a portion of the
body and the associated control portion of the brain will increase the chance
of survival. In the above example the survival likelihood is higher in the
uncorrelated case, because there is a better chance that, when a portion of
the body is injured, the associated brain portion will not be, and vice versa.
In a way this is the principle behind the familiar adage ‘‘don’t put all your
eggs in one basket’’. Let us now consider how these ideas may be connected
to the question of contralateral vs. ipsilateral control.
EVOLUTION OF CONTRALATERAL CONTROL 333

INJURY CORRELATIONS: LEFT BRAIN, LEFT BODY, RIGHT


BRAIN, AND RIGHT BODY
When an animal is injured, there may be some level of damage to each of the
four segments of left brain, left body, right brain, and right body. The
statistical concept of correlation is important in this context because there
are reasons to expect correlations between the degree of injury incurred in
different parts of the body in an accident. For example, in a frontal head
impact there could be approximately equal damage to both sides of the
brain. We would therefore expect some degree of correlation, overall,
between injury of the left brain to injury of the right brain. But this
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correlation would not be total, because other injuries would cause harm
mainly to one side of the brain, such as a side impact.
Overall, with four variables, there are six possible statistical correlations
of injury intensity:

(1) left brain with right brain and(2) left body with right body
(3) left body with left brain and (4) right body with right brain (ipsilateral
correlation)
(5) left body with right brain and (6) right body with left brain (contralateral
correlation)

According to the arguments presented here, correlations 1 and 2, while


likely to be present, would favour neither contralateral nor ipsilateral
control. In contrast, for reasons to be presented below, correlations 3 and
4 have the potential to favour contralateral control over ipsilateral control,
whereas the same reasoning would show that correlations 5 and 6 would
favour ipsilateral control over contralateral. Therefore a crucial part of the
argument presented here is that correlations 3 and 4 will often be present,
and while correlations 5 and 6 may be present, they will be weaker.
To be clear, this does not suggest that there could be no accidents that
involve, for example, a left body injury coupled with a right brain injury. In
the model we are simply proposing that it would be more common to have,
for example, a left brain / left body injury, than to have a left brain / right
body injury. This seems very plausible from considerations of accidents such
as falls or collisions where simultaneous impacts on one side or the other are
likely.
In order to link such considerations to our mathematical model of
survival, we need to include the two sides of the body in the model. For
clarity we will use the term ‘‘left’’ or ‘‘right’’ (subscript L or R) to label the
left or right side of the body and ‘‘control left’’ or ‘‘control right’’ (subscript
CL or CR) to label the half of the brain controlling, respectively, the left or
right side of the body. In the case of ipsilateral control the ‘‘control left’’
334 WHITEHEAD AND BANIHANI

brain will be located on the left side and similarly for right, and in the case of
contralateral control, it will be opposite*the ‘‘control left’’ brain will lie on
the right side. In this case the generalisation of equation (3) is straightfor-
ward and the same for both ipsilateral and contralateral (thanks to this
choice of terminology):

 n=2 n=2
  n=2 n=2

WL ¼ 1  fCLbrain fLbody and WR ¼ 1  fCRbrain fRbody (5)
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As for survival, let us assume that, for the animal to survive, both of its
halves must ‘‘survive’’.
The statistical calculation based on these ideas is no longer amenable to a
short-form algebraic expression, but it is simple to model numerically. As
described in Appendix B, a model was developed that allowed for different
scenarios based on a wide range of degrees of correlation of injury severity, a
variety of probability distribution functions for injury magnitude, and
varying degrees of response non-linearity and survival threshold. For each
selected scenario the average survival rate was computed for contralateral
control and for ipsilateral control, based on 100,000 trials*a quantity great
enough to largely eliminate statistical error.
In all scenarios there was a survival advantage for contralateral control.
Over a random sampling of these scenarios, contralateral control provides a
survival advantage of 5%94%. It appears that there are really just two
requirements for contralateral control to be advantageous:

(1) The ability of an undamaged half-brain to compensate for slight


damage in the body-half it controls and the ability of a slightly
damaged half-brain to operate an undamaged half-body.
(2) A greater degree of correlation between damage to one side of the
body and the same side of the brain than damage to one side of the
body and the opposite side of the brain.

CONCLUSION
Based on the reasoning described here, we believe we have found a highly
plausible mechanism that might have provided the required driving force
behind the evolution of contralateral control. In so doing, we are not
negating the possible existence of other such mechanisms, including those
that have already been proposed by others. One advantage of our new
hypothesis is that it is very general, applying in a wide variety of settings.
This fact is consistent with the very widespread evolutionary adoption of the
somewhat counter-intuitive system of control arrangement. There is plenty
EVOLUTION OF CONTRALATERAL CONTROL 335

of room for further work on this topic. For example, one wonders if the
‘‘injury correlation’’ hypothesis described here could generate new implica-
tions for investigation. For example, the hypothesised greater correlation of
ipsilateral injuries as compared to contralateral injuries may have varying
applicability in different evolutionary settings, possibly depending of the size
of an organism, whether it is an invertebrate of vertebrate, is predator or
prey, etc. Additionally, we note that each side of the cerebellum (the main
balance centre in the CNS) actually controls the ipsilateral side of the body
(in this case via pathways that cross the midline twice). One wonders why this
characteristic evolved, and if this could add further insight to this fascinating
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puzzle.
Manuscript received 13 May 2012
Revised manuscript received 7 July 2013
First published online 16 August 2013

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APPENDIX A
Derivation of equations 4(a) and 4(b)
Equation 4(a) concerns the case in which there is perfect correlation between
fbrain and fbody in which case they are always equal and both can be
represented as the random variable f having a uniform probability
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distribution between 0 and 1. Substitution into Equation (3) and solving


for f gives:

1=n
f ¼ ð1  W Þ (6)

The criterion for survival is that W must exceed Ws, which implies that f
must be less than a value fmax determined from equation (6) to be:

1=n
fmax ¼ ð1  Ws Þ (7)

Therefore, since the probability distribution of f is uniform between 0 and 1,


the probability of survival will be given by:

1
Ps ¼ fmax ¼ ð1  Ws Þ =n (8)

which is the result previously shown in Equation (4a).


Equation 4(b) concerns the case in which there is zero correlation between
fbrain and fbody in which case Equation (3) can be rewritten as follows:
 n=

W ¼ 1  ðfmult Þ 2 (9)

where fmult is a random variable having the same probability distribution as


the product of two independent random variables, each of which has a
uniform probability distribution between 0 and 1. The probability that such
a random variable fmult will be less than a value z, between 0 and 1, is given
(Drew, Evans, Glen, & Leemis, 2008) by:

P ¼ zð1  lnðzÞÞ (10)


EVOLUTION OF CONTRALATERAL CONTROL 337

Solving Equation (9) for fmult gives us the following relation:

2=n
fmult ¼ ð1  W Þ (11)

The criterion for survival is that W must exceed Ws, which implies that fmult
must be less than a value fmult-max determined from equation (11) as follows:

2=n
fmult-max ¼ ð1  Ws Þ (12)
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The criterion for survival, together with Equations (10) and (12), yield the
following:

2=n
Ps ¼ zð1  lnðzÞÞ where z ¼ fmult-max ¼ ð1  Ws Þ (13)

which is the result previously shown in Equation (4b).

APPENDIX B
Numerical statistical modelling of the benefits of contralateral
control
It is possible to simulate different types of injury type correlations through
the use of random variables. This was demonstrated in an Excel spread sheet.
The numerical model employed eight different free parameters, and for each
setting of those eight parameters, 100,000 random trials were run for both
ipsilateral and contralateral control, and the survival fraction in the two
cases were compared.
The first two parameters were survival value Ws and the exponent n as
previously described. In the example described previously these values were,
respectively, 0.8 and 4. In the numerical simulation Ws is randomly selected
with uniform probability density between 0 and 1, and n was randomly
selected with uniform probability density between 2 and 6.
The next three parameters were called C1, C2, C3, and they determined
the relative likelihood of injuries that injured respectively, the whole body,
the left or right side alone, and the head or body alone, relative to the
likelihood of an injury to just one of the quadrants. To determine the
magnitude of injury to the four quadrants, nine independent random
variables, R1 to R9, are determined with uniform probability between 0
and 1 using the Excel function RAND().
338 WHITEHEAD AND BANIHANI

Based on these definitions, formulae for the strength of injury in the four
quadrants are:

TABLE 1
Formulae for randomly determining partially correlated injuries

Left Right
R1 þ C1 R9 þ C2 R7 þ C3 R5 R2 þ C1 R9 þ C2 R8 þ C3 R5
Head
1 þ C1 þ C2 þ C3 1 þ C1 þ C2 þ C3
R3 þ C1 R9 þ C2 R7 þ C3 R6 R4 þ C1 R9 þ C2 R8 þ C3 R6
Body
1 þ C1 þ C2 þ C3 1 þ C1 þ C2 þ C3
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These formulae yield injury values for the four quadrants, with the
following characteristics: there are correlations between all four quadrants in
proportion to C1, correlations within the left side or right side in proportion
to C2, and correlations within the head or the body in proportion to C3. Of
these, only the parameter C2 is expected to favour contralateral control, and
the model confirms this. In the random selection of scenarios each of C1, C2,
and C3 were selected independently and randomly, with a uniform
probability density between 0 and 1.
Finally, it is desirable to model the possibility that the probability
distribution of injuries might not be uniformly distributed between 0 and 1.
To do this a transfer function was used to convert the uniformly distributed
values described above to various non-uniform distributions. This transfer
function is defined by a formula including two adjustable numerical
parameters, a and b. If both a and b are set to 0, the transfer function
simply returns the input value. Positive values of b shift the output
distribution towards the extremes of 0 and 1, and negative values shift it
towards the central value of 0.5. Positive values of a tend to shift the centre
of the output distribution positively, while negative values do the opposite.
The formula designed to have this effect was:
  x 
exp a þ expðbÞln 1x
y¼   x  (14)
1 þ exp a þ expðbÞln 1x

The vales of a and b were randomly chosen with uniform probability


between 1 and 1.

Calculation of survival probability


With these definitions it was straightforward to calculate, for any given
randomly selected set of these eight parameters, and for each of 100,000
trials, the survival fraction for ipsilateral and for contralateral control. This
EVOLUTION OF CONTRALATERAL CONTROL 339

was done according the procedure already described in association with


Equation (5).
It was observed that for most sets of values of the eight parameters, there
is a significant survival advantage with contralateral control, and contral-
ateral control is never a disadvantage.
To develop a sense of the variability of the contralateral advantage, 16
randomly selected parameter sets were studied, for which the mean survival
rate was in a reasonable range from 30% to 95%. The percentage survival
benefits for contralateral control were as follows:
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2.5% 4.9% 3.7% 10.0%


5.3% 3.3% 3.7% 0.6%
0.2% 12.9% 5.5% 11.4%
6.1% 2.1% 6.5% 5.3%

The average of these values is about 5% with a standard deviation of about 4%.
Overall, this model demonstrates that, under a wide variety of conditions,
as long as the strength of ipsilateral injury correlation exceeds that of
contralateral injury correlation, then contralateral control will yield a
significantly improved probability of survival over that of ipsilateral control.

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