Adaptive Strategies of Single-Sided Deaf Cochlear-Implant Users Revealed Through Resting State Activity: an Auditory PET Brain Imaging Study

Hear Res. 2024 Sep 15:451:109079. doi: 10.1016/j.heares.2024.109079. Epub 2024 Jul 11.

Abstract

Brain plasticity refers to the brain's ability to reorganize its structure or function in response to experiences, learning, and environmental influences. This phenomenon is particularly significant in individuals with deafness, as the brain adapts to compensate for the lack of auditory stimulation. The aim of this study is to investigate whether cochlear implantation can restore a normal pattern of brain activation following auditory stimulation in cases of asymmetric hearing loss. We used a PET-scan technique to assess brain activity after cochlear implantation, specifically during an auditory voice/non-voice discrimination task. The results indicated a nearly normal pattern of brain activity during the auditory discrimination task, except for increased activation in areas related to attentional processes compared to controls. Additionally, brain activity at rest showed significant changes in implanted participants, including cross modal visuo-auditory processing. Therefore, cochlear implants can restore the brain's activation pattern through long-term adaptive adjustments in intrinsic brain activity.

Keywords: Asymmetric hearing loss; Brain plasticity; Cochlear implantation; Unilateral deafness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation*
  • Adaptation, Physiological*
  • Adult
  • Aged
  • Auditory Perception
  • Brain / diagnostic imaging
  • Brain / physiopathology
  • Brain Mapping / methods
  • Case-Control Studies
  • Cochlear Implantation* / instrumentation
  • Cochlear Implants*
  • Correction of Hearing Impairment
  • Deafness / diagnostic imaging
  • Deafness / physiopathology
  • Deafness / rehabilitation
  • Deafness / surgery
  • Discrimination, Psychological
  • Female
  • Hearing
  • Hearing Loss, Unilateral / diagnostic imaging
  • Hearing Loss, Unilateral / physiopathology
  • Hearing Loss, Unilateral / psychology
  • Hearing Loss, Unilateral / rehabilitation
  • Humans
  • Male
  • Middle Aged
  • Neuronal Plasticity*
  • Persons with Hearing Disabilities / psychology
  • Persons with Hearing Disabilities / rehabilitation
  • Positron-Emission Tomography*