Visual activity predicts auditory recovery from deafness after adult cochlear implantation.

Details

Serval ID
serval:BIB_8F5E6D3AFA0C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Visual activity predicts auditory recovery from deafness after adult cochlear implantation.
Journal
Brain
Author(s)
Strelnikov K., Rouger J., Demonet J.F., Lagleyre S., Fraysse B., Deguine O., Barone P.
ISSN
1460-2156 (Electronic)
ISSN-L
0006-8950
Publication state
Published
Issued date
2013
Volume
136
Number
Pt 12
Pages
3682-3695
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Modern cochlear implantation technologies allow deaf patients to understand auditory speech; however, the implants deliver only a coarse auditory input and patients must use long-term adaptive processes to achieve coherent percepts. In adults with post-lingual deafness, the high progress of speech recovery is observed during the first year after cochlear implantation, but there is a large range of variability in the level of cochlear implant outcomes and the temporal evolution of recovery. It has been proposed that when profoundly deaf subjects receive a cochlear implant, the visual cross-modal reorganization of the brain is deleterious for auditory speech recovery. We tested this hypothesis in post-lingually deaf adults by analysing whether brain activity shortly after implantation correlated with the level of auditory recovery 6 months later. Based on brain activity induced by a speech-processing task, we found strong positive correlations in areas outside the auditory cortex. The highest positive correlations were found in the occipital cortex involved in visual processing, as well as in the posterior-temporal cortex known for audio-visual integration. The other area, which positively correlated with auditory speech recovery, was localized in the left inferior frontal area known for speech processing. Our results demonstrate that the visual modality's functional level is related to the proficiency level of auditory recovery. Based on the positive correlation of visual activity with auditory speech recovery, we suggest that visual modality may facilitate the perception of the word's auditory counterpart in communicative situations. The link demonstrated between visual activity and auditory speech perception indicates that visuoauditory synergy is crucial for cross-modal plasticity and fostering speech-comprehension recovery in adult cochlear-implanted deaf patients.
Keywords
Adult, Aged, Aged, 80 and over, Auditory Perception/physiology, Brain Mapping, Cerebral Cortex/physiopathology, Cochlear Implantation/rehabilitation, Cochlear Implants, Comprehension, Deafness/physiopathology, Deafness/surgery, Female, Humans, Male, Middle Aged, Nerve Net/radiography, Oxygen Radioisotopes, Photic Stimulation/methods, Positron-Emission Tomography, Predictive Value of Tests, Recovery of Function/physiology, Statistics, Nonparametric, Visual Perception/physiology
Pubmed
Web of science
Open Access
Yes
Create date
16/01/2014 19:02
Last modification date
20/08/2019 14:53
Usage data