Evolution of crossmodal reorganization of the voice area in cochlear-implanted deaf patients

Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI)...

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Published in:	Human brain mapping Vol. 33; no. 8; pp. 1929 - 1940
Main Authors:	Rouger, Julien, Lagleyre, Sébastien, Démonet, Jean-François, Fraysse, Bernard, Deguine, Olivier, Barone, Pascal
Format:	Journal Article
Language:	English
Published:	Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-08-2012 Wiley-Liss John Wiley & Sons, Inc Wiley
Subjects:	Adult Aged, 80 and over Biological and medical sciences Brain - physiology Brain Mapping cochlear implant Cochlear Implants crossmodal compensation deafness Deafness - physiopathology Deafness - surgery Female Human viral diseases Humans Infectious diseases Investigative techniques, diagnostic techniques (general aspects) Life Sciences Lipreading Male Medical sciences Middle Aged multisensory integration Nervous system Neuronal Plasticity - physiology Neurons and Cognition Photic Stimulation Positron-Emission Tomography Radiodiagnosis. Nmr imagery. Nmr spectrometry Speech Perception - physiology speechreading Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Visual Perception - physiology voice area Human Nervous system diseases Implant Radiodiagnosis Auditory disorder Multisensory integration Crossmodal interaction crossmodal compensation Hearing loss voice area cochlear implant speechreading Compensation ENT disease Evolution deafness Voice multisensory integration
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Abstract	Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI) allows a recovery of the auditory function, which will probably counteract the cortical crossmodal reorganization induced by hearing loss. To study the dynamics of such reversed crossmodal plasticity, we designed a longitudinal neuroimaging study involving the follow‐up of 10 postlingually deaf adult CI users engaged in a visual speechreading task. While speechreading activates Broca's area in normally hearing subjects (NHS), the activity level elicited in this region in CI patients is abnormally low and increases progressively with post‐implantation time. Furthermore, speechreading in CI patients induces abnormal crossmodal activations in right anterior regions of the superior temporal cortex normally devoted to processing human voice stimuli (temporal voice‐sensitive areas‐TVA). These abnormal activity levels diminish with post‐implantation time and tend towards the levels observed in NHS. First, our study revealed that the neuroplasticity after cochlear implantation involves not only auditory but also visual and audiovisual speech processing networks. Second, our results suggest that during deafness, the functional links between cortical regions specialized in face and voice processing are reallocated to support speech‐related visual processing through cross‐modal reorganization. Such reorganization allows a more efficient audiovisual integration of speech after cochlear implantation. These compensatory sensory strategies are later completed by the progressive restoration of the visuo‐audio‐motor speech processing loop, including Broca's area. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc
AbstractList	Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI) allows a recovery of the auditory function, which will probably counteract the cortical crossmodal reorganization induced by hearing loss. To study the dynamics of such reversed crossmodal plasticity, we designed a longitudinal neuroimaging study involving the follow‐up of 10 postlingually deaf adult CI users engaged in a visual speechreading task. While speechreading activates Broca's area in normally hearing subjects (NHS), the activity level elicited in this region in CI patients is abnormally low and increases progressively with post‐implantation time. Furthermore, speechreading in CI patients induces abnormal crossmodal activations in right anterior regions of the superior temporal cortex normally devoted to processing human voice stimuli (temporal voice‐sensitive areas‐TVA). These abnormal activity levels diminish with post‐implantation time and tend towards the levels observed in NHS. First, our study revealed that the neuroplasticity after cochlear implantation involves not only auditory but also visual and audiovisual speech processing networks. Second, our results suggest that during deafness, the functional links between cortical regions specialized in face and voice processing are reallocated to support speech‐related visual processing through cross‐modal reorganization. Such reorganization allows a more efficient audiovisual integration of speech after cochlear implantation. These compensatory sensory strategies are later completed by the progressive restoration of the visuo‐audio‐motor speech processing loop, including Broca's area. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI) allows a recovery of the auditory function, which will probably counteract the cortical crossmodal reorganization induced by hearing loss. To study the dynamics of such reversed crossmodal plasticity, we designed a longitudinal neuroimaging study involving the follow-up of 10 postlingually deaf adult CI users engaged in a visual speechreading task. While speechreading activates Broca's area in normally hearing subjects (NHS), the activity level elicited in this region in CI patients is abnormally low and increases progressively with post-implantation time. Furthermore, speechreading in CI patients induces abnormal crossmodal activations in right anterior regions of the superior temporal cortex normally devoted to processing human voice stimuli (temporal voice-sensitive areas-TVA). These abnormal activity levels diminish with post-implantation time and tend towards the levels observed in NHS. First, our study revealed that the neuroplasticity after cochlear implantation involves not only auditory but also visual and audiovisual speech processing networks. Second, our results suggest that during deafness, the functional links between cortical regions specialized in face and voice processing are reallocated to support speech-related visual processing through cross-modal reorganization. Such reorganization allows a more efficient audiovisual integration of speech after cochlear implantation. These compensatory sensory strategies are later completed by the progressive restoration of the visuo-audio-motor speech processing loop, including Broca's area. Hum Brain Mapp, 2011. © 2011 Wiley-Liss, Inc. Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI) allows a recovery of the auditory function, which will probably counteract the cortical crossmodal reorganization induced by hearing loss. To study the dynamics of such reversed crossmodal plasticity, we designed a longitudinal neuroimaging study involving the follow-up of 10 postlingually deaf adult CI users engaged in a visual speechreading task. While speechreading activates Broca's area in normally hearing subjects (NHS), the activity level elicited in this region in CI patients is abnormally low and increases progressively with post-implantation time. Furthermore, speechreading in CI patients induces abnormal crossmodal activations in right anterior regions of the superior temporal cortex normally devoted to processing human voice stimuli (temporal voice-sensitive areas-TVA). These abnormal activity levels diminish with post-implantation time and tend towards the levels observed in NHS. First, our study revealed that the neuroplasticity after cochlear implantation involves not only auditory but also visual and audiovisual speech processing networks. Second, our results suggest that during deafness, the functional links between cortical regions specialized in face and voice processing are reallocated to support speech-related visual processing through cross-modal reorganization. Such reorganization allows a more efficient audiovisual integration of speech after cochlear implantation. These compensatory sensory strategies are later completed by the progressive restoration of the visuo-audio-motor speech processing loop, including Broca's area. Hum Brain Mapp, 2012. © 2011 Wiley Periodicals, Inc [PUBLICATION ABSTRACT] Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation leads to a brain functional reorganization that favors the spared modalities. In postlingually deaf patients, the use of a cochlear implant (CI) allows a recovery of the auditory function, which will probably counteract the cortical crossmodal reorganization induced by hearing loss. To study the dynamics of such reversed crossmodal plasticity, we designed a longitudinal neuroimaging study involving the follow-up of 10 postlingually deaf adult CI users engaged in a visual speechreading task. While speechreading activates Broca's area in normally hearing subjects (NHS), the activity level elicited in this region in CI patients is abnormally low and increases progressively with post-implantation time. Furthermore, speechreading in CI patients induces abnormal crossmodal activations in right anterior regions of the superior temporal cortex normally devoted to processing human voice stimuli (temporal voice-sensitive areas-TVA). These abnormal activity levels diminish with post-implantation time and tend towards the levels observed in NHS. First, our study revealed that the neuroplasticity after cochlear implantation involves not only auditory but also visual and audiovisual speech processing networks. Second, our results suggest that during deafness, the functional links between cortical regions specialized in face and voice processing are reallocated to support speech-related visual processing through cross-modal reorganization. Such reorganization allows a more efficient audiovisual integration of speech after cochlear implantation. These compensatory sensory strategies are later completed by the progressive restoration of the visuo-audio-motor speech processing loop, including Broca's area.
Author	Barone, Pascal Démonet, Jean-François Lagleyre, Sébastien Fraysse, Bernard Rouger, Julien Deguine, Olivier
AuthorAffiliation	4 Present address: Julien Rouger is currently at Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, University of Maastricht, The Netherlands 3 Imagerie cérébrale et handicaps neurologiques, Université Toulouse, Institut national de la santé et de la recherche médicale U825, Hôpital Purpan, Toulouse, France 2 Service d'oto‐rhino‐laryngologie et d'oto‐neurologie, Hôpital Purpan, Toulouse, France 1 Centre de recherche Cerveau et Cognition, Université Toulouse, Centre national de la recherche scientifique UMR 5549, Hôpital Purpan, Toulouse, France
AuthorAffiliation_xml	– name: 3 Imagerie cérébrale et handicaps neurologiques, Université Toulouse, Institut national de la santé et de la recherche médicale U825, Hôpital Purpan, Toulouse, France – name: 4 Present address: Julien Rouger is currently at Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, University of Maastricht, The Netherlands – name: 1 Centre de recherche Cerveau et Cognition, Université Toulouse, Centre national de la recherche scientifique UMR 5549, Hôpital Purpan, Toulouse, France – name: 2 Service d'oto‐rhino‐laryngologie et d'oto‐neurologie, Hôpital Purpan, Toulouse, France
Author_xml	– sequence: 1 givenname: Julien surname: Rouger fullname: Rouger, Julien organization: Centre de recherche Cerveau et Cognition, Université Toulouse, Centre national de la recherche scientifique UMR 5549, Hôpital Purpan, Toulouse, France – sequence: 2 givenname: Sébastien surname: Lagleyre fullname: Lagleyre, Sébastien organization: Service d'oto-rhino-laryngologie et d'oto-neurologie, Hôpital Purpan, Toulouse, France – sequence: 3 givenname: Jean-François surname: Démonet fullname: Démonet, Jean-François organization: Imagerie cérébrale et handicaps neurologiques, Université Toulouse, Institut national de la santé et de la recherche médicale U825, Hôpital Purpan, Toulouse, France – sequence: 4 givenname: Bernard surname: Fraysse fullname: Fraysse, Bernard organization: Service d'oto-rhino-laryngologie et d'oto-neurologie, Hôpital Purpan, Toulouse, France – sequence: 5 givenname: Olivier surname: Deguine fullname: Deguine, Olivier organization: Centre de recherche Cerveau et Cognition, Université Toulouse, Centre national de la recherche scientifique UMR 5549, Hôpital Purpan, Toulouse, France – sequence: 6 givenname: Pascal surname: Barone fullname: Barone, Pascal email: pascal.barone@cerco.ups-tlse.fr organization: Centre de recherche Cerveau et Cognition, Université Toulouse, Centre national de la recherche scientifique UMR 5549, Hôpital Purpan, Toulouse, France
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Keywords	Human Nervous system diseases Implant Radiodiagnosis Auditory disorder Multisensory integration Crossmodal interaction crossmodal compensation Hearing loss voice area cochlear implant speechreading Compensation ENT disease Evolution deafness Voice multisensory integration
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Snippet	Psychophysical and neuroimaging studies in both animal and human subjects have clearly demonstrated that cortical plasticity following sensory deprivation...
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SubjectTerms	Adult Aged, 80 and over Biological and medical sciences Brain - physiology Brain Mapping cochlear implant Cochlear Implants crossmodal compensation deafness Deafness - physiopathology Deafness - surgery Female Human viral diseases Humans Infectious diseases Investigative techniques, diagnostic techniques (general aspects) Life Sciences Lipreading Male Medical sciences Middle Aged multisensory integration Nervous system Neuronal Plasticity - physiology Neurons and Cognition Photic Stimulation Positron-Emission Tomography Radiodiagnosis. Nmr imagery. Nmr spectrometry Speech Perception - physiology speechreading Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Visual Perception - physiology voice area
Title	Evolution of crossmodal reorganization of the voice area in cochlear-implanted deaf patients
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