Cortical reorganization in children with cochlear implants

Brain Res. 2008 Nov 6:1239:56-65. doi: 10.1016/j.brainres.2008.08.026. Epub 2008 Aug 18.

Abstract

Congenital deafness leads to atypical organization of the auditory nervous system. However, the extent to which auditory pathways reorganize during deafness is not well understood. We recorded cortical auditory evoked potentials in normal hearing children and in congenitally deaf children fitted with cochlear implants. High-density EEG and source modeling revealed principal activity from auditory cortex in normal hearing and early implanted children. However, children implanted after a critical period of seven years revealed activity from parietotemporal cortex in response to auditory stimulation, demonstrating reorganized cortical pathways. Reorganization of central auditory pathways is limited by the age at which implantation occurs, and may help explain the benefits and limitations of implantation in congenitally deaf children.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Aging / physiology*
  • Auditory Cortex / physiology
  • Auditory Cortex / physiopathology
  • Auditory Perception / physiology*
  • Cerebral Cortex / physiology*
  • Cerebral Cortex / physiopathology
  • Child
  • Cochlear Implants*
  • Deafness / physiopathology
  • Deafness / surgery
  • Deafness / therapy
  • Electroencephalography
  • Evoked Potentials, Auditory
  • Humans
  • Neural Pathways / physiology
  • Neural Pathways / physiopathology
  • Neuronal Plasticity*
  • Parietal Lobe / physiology
  • Parietal Lobe / physiopathology
  • Speech Perception / physiology
  • Temporal Lobe / physiology
  • Temporal Lobe / physiopathology
  • Time Factors