How the Blind “See” Braille and the Deaf “Hear” Sign: Lessons from fMRI on the Cross-Modal Plasticity, Integration, and Learning

Abstract

What does the visual cortex of the blind do during Braille reading? This process involves converting simple tactile information into meaningful patterns that have lexical and semantic properties. The perceptual processing of Braille might be mediated by the somatosensory system, whereas visual letter identity is accomplished within the visual system in sighted people. Recent advances in functional neuroimaging techniques have enabled exploration of the neural substrates of Braille reading (Sadato et al. 1996, 1998, 2002, Cohen et al. 1997, 1999). The primary visual cortex of early-onset blind subjects is functionally relevant to Braille reading, suggesting that the brain shows remarkable plasticity that potentially permits the additional processing of tactile information in the visual cortical areas. Similar cross-modal plasticity is observed by the auditory deprivation: Sign language activates the auditory cortex of deaf subjects (Neville et al. 1999, Nishimura et al. 1999, Sadato et al. 2004). Cross-mod...