Faster phonological processing and right occipito-temporal coupling in deaf adults signal poor cochlear implant outcome.

Abstract:

:The outcome of adult cochlear implantation is predicted positively by the involvement of visual cortex in speech processing, and negatively by the cross-modal recruitment of the right temporal cortex during and after deafness. How these two neurofunctional predictors concur to modulate cochlear implant (CI) performance remains unclear. In this fMRI study, we explore the joint involvement of occipital and right hemisphere regions in a visual-based phonological task in post-lingual deafness. Intriguingly, we show that some deaf subjects perform faster than controls. This behavioural effect is associated with reorganized connectivity across bilateral visual, right temporal and left inferior frontal cortices, but with poor CI outcome. Conversely, preserved normal-range reaction times are associated with left-lateralized phonological processing and good CI outcome. These results suggest that following deafness, involvement of visual cortex in the context of reorganized right-lateralized phonological processing compromises its availability for audio-visual synergy during adaptation to CI.

journal_name

Nat Commun

journal_title

Nature communications

authors

Lazard DS,Giraud AL

doi

10.1038/ncomms14872

subject

Has Abstract

pub_date

2017-03-28 00:00:00

pages

14872

issn

2041-1723

pii

ncomms14872

journal_volume

8

pub_type

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