Early Blind Individuals Research Articles

Increased regional homogeneity of blood oxygen level-dependent signals in occipital cortex of early blind individuals

Although resting-state functional magnetic resonance imaging has shown altered functional connectivity between visual and other brain areas in the early blind individuals, it cannot answer which brain area's local activities are changed. In this study, regional homogeneity, a measure of the homogeneity of the local blood oxygen level-dependent signals, was used for the first time to investigate the changes in the resting-state brain activity in the early blind individuals. Compared with age-matched and sex-matched sighted individuals, the early blind individuals showed increased regional homogeneity only in the occipital areas, which might be explained by the abnormal cortical development and/or experience-dependent plasticity, resulted from an early visual deprivation.

Relevance of spectral cues for auditory spatial processing in the occipital cortex of the blind.

We have previously shown that some blind individuals can localize sounds more accurately than their sighted counterparts when one ear is obstructed, and that this ability is strongly associated with occipital cortex activity. Given that spectral cues are important for monaurally localizing sounds when one ear is obstructed, and that blind individuals are more sensitive to small spectral differences, we hypothesized that enhanced use of spectral cues via occipital cortex mechanisms could explain the better performance of blind individuals in monaural localization. Using positron-emission tomography (PET), we scanned blind and sighted persons as they discriminated between sounds originating from a single spatial position, but with different spectral profiles that simulated different spatial positions based on head-related transfer functions. We show here that a sub-group of early blind individuals showing superior monaural sound localization abilities performed significantly better than any other group on this spectral discrimination task. For all groups, performance was best for stimuli simulating peripheral positions, consistent with the notion that spectral cues are more helpful for discriminating peripheral sources. PET results showed that all blind groups showed cerebral blood flow increases in the occipital cortex; but this was also the case in the sighted group. A voxel-wise covariation analysis showed that more occipital recruitment was associated with better performance across all blind subjects but not the sighted. An inter-regional covariation analysis showed that the occipital activity in the blind covaried with that of several frontal and parietal regions known for their role in auditory spatial processing. Overall, these results support the notion that the superior ability of a sub-group of early-blind individuals to localize sounds is mediated by their superior ability to use spectral cues, and that this ability is subserved by cortical processing in the occipital cortex.

Effects of Visual Experience on the Human MT+ Functional Connectivity Networks: An fMRI Study of Motion Perception in Sighted and Congenitally Blind Individuals

Human middle temporal complex (hMT+) responds also to the perception of non-visual motion in both sighted and early blind individuals, indicating a supramodal organization. Visual experience, however, leads to a segregation of hMT+ into a more anterior subregion, involved in the supramodal representation of motion, and a posterior subregion that processes visual motion only. In contrast, in congenitally blind subjects tactile motion activates the full extent of hMT+. Here, we used fMRI to investigate brain areas functionally connected with the two hMT+ subregions (seeds) during visual and tactile motion in sighted and blind individuals. A common functional connectivity network for motion processing, including bilateral ventral and dorsal extrastriate, inferior frontal, middle and inferior temporal areas, correlated with the two hMT+ seeds both in sighted and blind individuals during either visual or tactile motion, independently from the sensory modality through which the information was acquired. Moreover, ventral premotor, somatosensory, and posterior parietal areas correlated only with the anterior but not with the posterior portion of hMT+ in sighted subjects, and with both hMT+ seeds in blind subjects. Furthermore, a correlation between middle temporal and occipital areas with primary somatosensory seeds was demonstrated across conditions in both sighted and blind individuals, suggesting a cortico-cortical pathway that conveys non-visual information from somatosensory cortex, through posterior parietal regions, to ventral extrastriate cortex. These findings expand our knowledge about the development of the functional organization within hMT+ by showing that distinct patterns of brain functional correlations originate from the anterior and posterior hMT+ subregions as a result of visual experience.

Wayfinding in the blind: larger hippocampal volume and supranormal spatial navigation

In the absence of visual input, the question arises as to how complex spatial abilities develop and how the brain adapts to the absence of this modality. We explored navigational skills in both early and late blind individuals and structural differences in the hippocampus, a brain region well known to be involved in spatial processing. Thirty-eight participants were divided into three groups: early blind individuals (n = 12; loss of vision before 5 years of age; mean age 33.8 years), late blind individuals (n = 7; loss of vision after 14 years of age; mean age 39.9 years) and 19 sighted, blindfolded matched controls. Subjects undertook route learning and pointing tasks in a maze and a spatial layout task. Anatomical data was collected by MRI. Remarkably, we not only show that blind individuals possess superior navigational skills than controls on the route learning task, but we also show for the first time a significant volume increase of the hippocampus in blind individuals [F(1,36) = 6.314; P < or = 0.01; blind: mean = 4237.00 mm(3), SE = 107.53; sighted: mean = 3905.74 mm(3), SE = 76.27], irrespective of whether their blindness was congenital or acquired. Overall, our results shed new light not only on the construction of spatial concepts and the non-necessity of vision for its proper development, but also on the hippocampal plasticity observed in adult blind individuals who have to navigate in this space.

Differential occipital responses in early- and late-blind individuals during a sound-source discrimination task

Blind individuals do not necessarily receive more auditory stimulation than sighted individuals. However, to interact effectively with their environment, they have to rely on non-visual cues (in particular auditory) to a greater extent. Often benefiting from cerebral reorganization, they not only learn to rely more on such cues but also may process them better and, as a result, demonstrate exceptional abilities in auditory spatial tasks. Here we examine the effects of blindness on brain activity, using positron emission tomography (PET), during a sound-source discrimination task (SSDT) in both early- and late-onset blind individuals. This should not only provide an answer to the question of whether the blind manifest changes in brain activity but also allow a direct comparison of the two subgroups performing an auditory spatial task. The task was presented under two listening conditions: one binaural and one monaural. The binaural task did not show any significant behavioural differences between groups, but it demonstrated striate and extrastriate activation in the early-blind groups. A subgroup of early-blind individuals, on the other hand, performed significantly better than all the other groups during the monaural task, and these enhanced skills were correlated with elevated activity within the left dorsal extrastriate cortex. Surprisingly, activation of the right ventral visual pathway, which was significantly activated in the late-blind individuals during the monaural task, was negatively correlated with performance. This suggests the possibility that not all cross-modal plasticity is beneficial. Overall, our results not only support previous findings showing that occipital cortex of early-blind individuals is functionally engaged in spatial auditory processing but also shed light on the impact the age of onset of blindness can have on the ensuing cross-modal plasticity.

Tactile–‘visual’ acuity of the tongue in early blind individuals

This study compares the 'tactile-visual' acuity of the tongue for 15 early blind participants with that of 24 age-matched and sex-matched sighted controls. Snellen's tumbling E test was used to assess 'visual' acuity using the tongue display unit. The tongue display unit is a sensory substitution device that converts a visual stimulus grabbed by a camera into electro-tactile pulses delivered to the tongue via a grid made out of electrodes. No overall significant difference was found in thresholds between early blind (1/206) and sighted control (1/237) participants. We found, however, a larger proportion of early blind in the two highest visual acuity categories (1/150 and 1/90). These results extend earlier findings that it is possible to measure visual acuity in the blind individuals using the tongue. Moreover, our data demonstrate that a subgroup of early blind participants is more efficient than controls in conveying visual information through the tongue.

Reorganization of neural circuits in the blind on diffusion direction analysis

The neural reorganization of the visual cortex of early blind individuals was evaluated using voxel-by-voxel analysis of diffusion tensor images with regard to the diffusion direction, diffusion anisotropy and diffusivity. Reduced anisotropy and increased diffusivity was found mainly in the visual pathways of 18 early blind individuals as opposed to 25 sighted individuals. Alteration of the diffusion direction was detected not only in the visual pathways but also in nonvisual pathways such as the u fibers of the parietal lobe, the sagittal striatum, the pulvinar and the inferior and superior longitudinal fasciculi. The alteration of regional diffusion direction, reduced anisotropy and increased diffusivity in early blind individuals imply the neural reorganization for functional adaptation to the loss of visual input during the early development period.

Alterations in right posterior hippocampus in early blind individuals

This study compares hippocampal volumes of early blind and sex/age-matched sighted controls through volumetric and localization analyses. Early blind individuals showed a significantly smaller right posterior hippocampus compared with controls. No differences in total hippocampal volumes were found between groups and there were no within-group differences for left versus right hippocampus. Sex, age and total brain grey matter volume had no effect on hippocampal volumes. Although extensive navigational training results in structural enhancement of the hippocampus for the sighted, the reduction of the posterior hippocampus in early blind individuals suggests the implication of this region in visual spatial memory.

Attention and Sensory Interactions within the Occipital Cortex in the Early Blind: An fMRI Study

Visual deprivation early in life results in occipital cortical responsiveness across a broad range of perceptual and cognitive tasks. In the reorganized occipital cortex of early blind (EB) individuals, the relative lack of specificity for particular sensory stimuli and tasks suggests that attention effects may play a prominent role in these areas. We wished to establish whether occipital cortical areas in the EB were responsive to stimuli across sensory modalities (auditory, tactile) and whether these areas maintained or altered their activity as a function of selective attention. Using a three-stimulus oddball paradigm and event-related functional magnetic resonance imaging, auditory and tactile tasks presented separately demonstrated that several occipital regions of interest (ROIs) in the EB, but not sighted controls (SCs), responded to targets and task-irrelevant distracter stimuli of both modalities. When auditory and tactile stimuli were presented simultaneously with subjects alternating attention between sensory streams, only the calcarine sulcus continued to respond to stimuli in both modalities. In all other ROIs, responses to auditory targets were as large or larger than those observed in the auditory-alone condition, but responses to tactile targets were attenuated or abolished by the presence of unattended auditory stimuli. Both auditory and somatosensory cortices responded consistently to auditory and tactile targets, respectively. These results reveal mechanisms of orienting and selective attention within the visual cortex of EB individuals and suggest that mechanisms of enhancement and suppression interact asymmetrically on auditory and tactile streams during bimodal sensory presentation.

Spatial processing, mental imagery, and creativity in individuals with and without sight

It has been argued that individuals born without sight are impaired on all “active” spatial imagery tasks (e.g., Vecchi, 1998). If this were the case, people without sight would be limited in their capacity to manipulate, amalgamate, or reorganise information within imagery. A consequence of this would be a difficulty in creating novel forms using imagery alone, which is the basis of the mental synthesis task (Finke & Slayton, 1988). This potential difficulty is investigated by exploring the performance of 12 early blind individuals and 15 blindfolded-sighted participants on both two- and three-dimensional versions of the mental synthesis task. Results indicated that, irrespective of visual status, spatial interference was detrimental to performance on the mental synthesis task. Furthermore, although those with sight performed better than those without sight in two dimensions, vision provided no performance advantage on the three-dimensional version of this task. In other words, individuals without sight are not impaired on all complex spatial tasks.

Functional Cerebral Reorganization for Auditory Spatial Processing and Auditory Substitution of Vision in Early Blind Subjects

Early blind (EB) individuals can recognize bidimensional shapes using a prosthesis substituting vision with audition (PSVA) and activate right dorsal extrastriate visual cortex during the execution of this task. The present study used repetitive transcranial magnetic stimulation (rTMS) to further examine the functional role of this structure in the successful use of the PSVA. Moreover, we investigated which auditory parameter used in the prosthesis (pitch, intensity, or spatial location) might contribute to this occipital activation. Results revealed that rTMS applied to right dorsal extrastriate cortex in EB subjects interferes with both the PSVA use and the auditory spatial location task but not with pitch and intensity discriminations. By contrast, rTMS targeting the same cortical areas in sighted subjects did not affect performance on any auditory tasks. Early visual deprivation thus leads to functional cerebral cross-modal reorganization in the processing of auditory information and auditory-to-visual sensory substitution. The findings also point to the specific involvement of the dorsal visual stream for auditory spatial processing in blind subjects. Moreover, this suggests that sensory substitution prostheses can be developed using these additional neural resources to perform tasks that partially compensate for the loss of vision.

Enhanced self-localization by auditory cues in blind humans

Purpose. Investigate the involvement of auditory spatial compensation, which is observed in blind humans, in self-localization processes.Method. Sighted and early-blind subjects had to indicate, on a two-dimensional view of the experimental room, the position where they previously sat and had passively listened to auditory spatial cues. Two different environments were distinguished. In a first session, auditory cues (i.e., white broadband sounds) were displayed successively in a dark anechoic room. This condition was defined as a simple acoustic environment. In a second session, four different auditory cues were displayed simultaneously at regular intervals in an experimental room, where echo cues were salient. This condition, which is more reminiscent of the natural situation, was described as a complex acoustic environment.Results. Self-localization capacities were significantly better in early-blind individuals than in sighted subjects, whatever the type of acoustic environment.Conclusions. Auditory compensation leads to improved self-localization capacities in early-blind humans and indicates that prior visual experience is not essential for the development of spatial competence.

Auditory perceptual consolidation in early-onset blindness

Early-onset blindness (EB) produces measurable advantages in auditory perception, attention, memory and language. Neville and Bavelier [Neville, H. J., & Bavelier, D. (2001) Variability of developmental plasticity. In J. L. McClelland, R. S. Siegler (Eds.) Mechanisms of cognitive development: Behavioral and ellon symposia on cognition (pp. 271–301)] hypothesized that faster temporal processing underlies many auditory compensatory effects in the blind. We tested this hypothesis by comparing early-onset blind individuals and sighted counterparts (SC) by assessing their rates of perceptual consolidation, the accurate perceptual representation of auditory stimuli. Firstly, we first tested both groups on a temporal-order judgment task (TOJ). EB subjects had significantly lower TOJ thresholds than the SC subjects. Secondly, we assessed perceptual consolidation speed using auditory backward masking tasks, taking into account individual TOJ thresholds. Discrimination performance was unaffected at all mask delays in the EB group while the SC subjects needed a mask delay of 160 ms to perform comparably. A backward masking task using single tone stimuli found no differences between the EB and SC groups any mask delay. A simultaneous masking task demonstrated that the mask effectively impaired discrimination in EB subjects at sensory stages. These results suggest that advantages in perceptual consolidation may reflect a mechanism responsible for the short response times and better performance reported in early blind individuals across a number of complex auditory tasks.

Adaptive changes in early and late blind: a FMRI study of verb generation to heard nouns.

Literacy for blind people requires learning Braille. Along with others, we have shown that reading Braille activates visual cortex. This includes striate cortex (V1), i.e., banks of calcarine sulcus, and several higher visual areas in lingual, fusiform, cuneus, lateral occipital, inferior temporal, and middle temporal gyri. The spatial extent and magnitude of magnetic resonance (MR) signals in visual cortex is greatest for those who became blind early in life. Individuals who lost sight as adults, and subsequently learned Braille, still exhibited activity in some of the same visual cortex regions, especially V1. These findings suggest these visual cortex regions become adapted to processing tactile information and that this cross-modal neural change might support Braille literacy. Here we tested the alternative hypothesis that these regions directly respond to linguistic aspects of a task. Accordingly, language task performance by blind persons should activate the same visual cortex regions regardless of input modality. Specifically, visual cortex activity in blind people ought to arise during a language task involving heard words. Eight early blind, six late blind, and eight sighted subjects were studied using functional magnetic resonance imaging (fMRI) during covert generation of verbs to heard nouns. The control task was passive listening to indecipherable sounds (reverse words) matched to the nouns in sound intensity, duration, and spectral content. Functional responses were analyzed at the level of individual subjects using methods based on the general linear model and at the group level, using voxel based ANOVA and t-test analyses. Blind and sighted subjects showed comparable activation of language areas in left inferior frontal, dorsolateral prefrontal, and left posterior superior temporal gyri. The main distinction was bilateral, left dominant activation of the same visual cortex regions previously noted with Braille reading in all blind subjects. The spatial extent and magnitude of responses was greatest on the left in early blind individuals. Responses in the late blind group mostly were confined to V1 and nearby portions of the lingual and fusiform gyri. These results confirm the presence of adaptations in visual cortex of blind people but argue against the notion that this activity during Braille reading represents somatosensory (haptic) processing. Rather, we suggest that these responses can be most parsimoniously explained in terms of linguistic operations. It remains possible that these responses represent adaptations which initially are for processing either sound or touch, but which are later generalized to the other modality during acquisition of Braille reading skills.

Early-blind human subjects localize sound sources better than sighted subjects.

Do blind persons develop capacities of their remaining senses that exceed those of sighted individuals? Besides anecdotal suggestions, two views based on experimental studies have been advanced. The first proposes that blind individuals should be severely impaired, given that vision is essential to develop spatial concepts. The second suggests that compensation occurs through the remaining senses, allowing them to develop an accurate concept of space. Here we investigate how an ecologically critical function, namely three-dimensional spatial mapping, is carried out by early-blind individuals with or without residual vision. Subjects were tested under monaural and binaural listening conditions. We find that early-blind subjects can map the auditory environment with equal or better accuracy than sighted subjects. Furthermore, unlike sighted subjects, they can correctly localize sounds monaurally. Surprisingly, blind individuals with residual peripheral vision localized sounds less precisely than sighted or totally blind subjects, confirming that compensation varies according to the aetiology and extent of blindness. Our results resolve a long-standing controversy in that they provide behavioural evidence that totally blind individuals have better auditory ability than sighted subjects, enabling them to compensate for their loss of vision.