Audiovisual fusion and cochlear implant proficiency

PURPOSE

Recent studies suggest that cochlear implant (CI) users have a typical, and perhaps improved, ability to fuse congruent multisensory information. The ability to fuse incongruent auditory and visual inputs, however, remains to be fully investigated.

METHODS

Here, performance on a classical audiovisual task (the McGurk effect) was assessed in seventeen cochlear-implanted, postlingually deaf individuals with varied degrees of auditory competency.

RESULTS

In line with previous studies, our results revealed audiovisual fusion abilities that were within normal limits in CI users compared to normally-hearing (NH) participants. A different pattern of response emerged, however, when participants' responses were analyzed according to the degree of auditory proficiency with the CI. Although proficient CI users (pCI) and NH participants favoured auditory input when multisensory signals were not fused, only the non-proficient CI users (npCI) relied predominantly on visual cues to resolve audiovisual conflict. This pattern was found despite a similar percentage of fused percepts between pCI users, npCI users and NH participants.

CONCLUSION

These data show a remarkable level of similarity between pCI users and NH individuals in the perception of incongruent audiovisual information, suggesting that optimal auditory performance with the CI is associated with normal fusion of conflicting audiovisual input.

3D mapping of brain differences in native signing congenitally and prelingually deaf subjects

In the prelingual and congenital deaf, functional reorganization is known to occur throughout brain regions normally associated with hearing. However, the anatomical correlates of these changes are not yet well understood. Here, we perform the first tensor-based morphometric analysis of voxel-wise volumetric differences in native signing prelingual and congenitally deaf subjects when compared with hearing controls. We obtained T1-weighted scans for 14 native signing prelingual and congenitally deaf subjects and 16 age- and gender-matched controls. We used linear and fluid registration to align each image to a common template. Using the voxel-wise determinant of the Jacobian of the fluid deformation, significant volume increases, of up to 20%, were found in frontal lobe white matter regions including Broca's area, and adjacent regions involved in motor control and language production. A similar analysis was performed on hand-traced corpora callosa. A strong trend for group differences was found in the area of the splenium considered to carry fibers connecting the temporal (and occipital) lobes. These anatomical differences may reflect experience-mediated developmental differences in myelination and cortical maturation associated with prolonged monomodal sensory deprivation.

The nature of working memory for Braille

Blind individuals have been shown on multiple occasions to compensate for their loss of sight by developing exceptional abilities in their remaining senses. While most research has been focused on perceptual abilities per se in the auditory and tactile modalities, recent work has also investigated higher-order processes involving memory and language functions. Here we examined tactile working memory for Braille in two groups of visually challenged individuals (completely blind subjects, CBS; blind with residual vision, BRV). In a first experimental procedure both groups were given a Braille tactile memory span task with and without articulatory suppression, while the BRV and a sighted group performed a visual version of the task. It was shown that the Braille tactile working memory (BrWM) of CBS individuals under articulatory suppression is as efficient as that of sighted individuals' visual working memory in the same condition. Moreover, the results suggest that BrWM may be more robust in the CBS than in the BRV subjects, thus pointing to the potential role of visual experience in shaping tactile working memory. A second experiment designed to assess the nature (spatial vs. verbal) of this working memory was then carried out with two new CBS and BRV groups having to perform the Braille task concurrently with a mental arithmetic task or a mental displacement of blocks task. We show that the disruption of memory was greatest when concurrently carrying out the mental displacement of blocks, indicating that the Braille tactile subsystem of working memory is likely spatial in nature in CBS. The results also point to the multimodal nature of working memory and show how experience can shape the development of its subcomponents.

Localisation of unilateral nasal stimuli across sensory systems

Odor stimuli presented to one nostril can only be localised if they additionally activate the trigeminal nerve's chemosensitive fibers. In this study we aimed to investigate characteristics in the localisation of unilateral trigeminal, olfactory and somatosensory nasal stimuli. We compared the ability of healthy young subjects to localise monorhinally presented (a) pure olfactory stimuli (phenyl ethyl alcohol), (b) mixed olfactory trigeminal stimuli (eucalyptol), and (c) somatosensory stimuli (air puffs). As expected, subjects could localise the air puffs and eucalyptol, but could not phenyl ethyl alcohol. Interestingly, we observed a significant correlation between localisation performance for eucalyptol and phenyl ethyl alcohol but not between the ability to localise somatosensory and trigeminal or olfactory stimuli. These observations show that on a behavioural level, the trigeminal chemosensory system is more intimately connected to the olfactory system than to the somatosensory system despite the fact that anatomically its information is conveyed via same nerve as the latter. Furthermore, they show that the trigeminal chemosensory system should therefore be considered a self-confined contributor to chemosensory perception.

Early brain-body impact of emotional arousal

Current research in affective neuroscience suggests that the emotional content of visual stimuli activates brain–body responses that could be critical to general health and physical disease. The aim of this study was to develop an integrated neurophysiological approach linking central and peripheral markers of nervous activity during the presentation of natural scenes in order to determine the temporal stages of brain processing related to the bodily impact of emotions. More specifically, whole head magnetoencephalogram (MEG) data and skin conductance response (SCR), a reliable autonomic marker of central activation, were recorded in healthy volunteers during the presentation of emotional (unpleasant and pleasant) and neutral pictures selected from the International Affective Picture System (IAPS). Analyses of event-related magnetic fields (ERFs) revealed greater activity at 180 ms in an occipitotemporal component for emotional pictures than for neutral counterparts. More importantly, these early effects of emotional arousal on cerebral activity were significantly correlated with later increases in SCR magnitude. For the first time, a neuromagnetic cortical component linked to a well-documented marker of bodily arousal expression of emotion, namely, the SCR, was identified and located. This finding sheds light on the time course of the brain–body interaction with emotional arousal and provides new insights into the neural bases of complex and reciprocal mind–body links.

Women process multisensory emotion expressions more efficiently than men

Despite claims in the popular press, experiments investigating whether female are more efficient than male observers at processing expression of emotions produced inconsistent findings. In the present study, participants were asked to categorize fear and disgust expressions displayed auditorily, visually, or audio-visually. Results revealed an advantage of women in all the conditions of stimulus presentation. We also observed more nonlinear probabilistic summation in the bimodal conditions in female than male observers, indicating greater neural integration of different sensory-emotional informations. These findings indicate robust differences between genders in the multisensory perception of emotion expression.

Brain structure changes visualized in early- and late-onset blind subjects

We examined 3D patterns of volume differences in the brain associated with blindness, in subjects grouped according to early and late onset. Using tensor-based morphometry, we mapped volume reductions and gains in 16 early-onset (EB) and 16 late-onset (LB) blind adults (onset <5 and >14 years old, respectively) relative to 16 matched sighted controls. Each subject's structural MRI was fluidly registered to a common template. Anatomical differences between groups were mapped based on statistical analysis of the resulting deformation fields revealing profound deficits in primary and secondary visual cortices for both blind groups. Regions outside the occipital lobe showed significant hypertrophy, suggesting widespread compensatory adaptations. EBs but not LBs showed deficits in the splenium and the isthmus. Gains in the non-occipital white matter were more widespread in the EBs. These differences may reflect regional alterations in late neurodevelopmental processes, such as myelination, that continue into adulthood.

Neuromagnetic auditory steady-state responses to amplitude modulated sounds following dichotic or monaural presentation

OBJECTIVE

The goal of the present study was to further our understanding of how attention directed to carrier frequency changes in amplitude-modulated tones (AM) affects the auditory steady-state response (ASSR).

METHODS

ASSR in the 40-Hz range were recorded in 15 adults using the frequency tagging method while subjects detected a carrier frequency change in amplitude-modulated tones. Spectral and temporal domain analyses were performed to examine the effect on response amplitudes during attending to the tones compared to ignoring them for both monaural and dichotic stimulations.

RESULTS

Larger responses were found in the hemisphere contralateral to the stimulated ear. Binaural suppression for ipsilateral input was found in both hemispheres. Time series of the source waveforms were calculated from equivalent current dipoles and showed a 2Hz beat for the dichotic presentation. Attention to carrier frequency change was significant only during dichotic presentation where larger right hemisphere responses were found at the onset of carrier change.

CONCLUSIONS

Attending to carrier frequency change in stimulation enhances the right hemisphere ASSR amplitude for dichotic stimulation.

SIGNIFICANCE

The possibility of tagging frequency specific responses up to auditory cortex makes the ASSR approach interesting for studying hearing impairment mechanisms, integrity of auditory structures and attention.

Pattern of hippocampal shape and volume differences in blind subjects

Numerous studies in animals and humans have shown that the hippocampus (HP) is involved in spatial navigation and memory. Blind subjects, in particular, must memorize extensive information to compensate for their lack of immediate updating of spatial information. Increased demands on spatial cognition and memory may be associated with functional and structural HP plasticity. Here we examined local size and shape differences in the HP of blind and sighted individuals. A 3D parametric mesh surface was generated to represent right and left HPs in each individual, based on manual segmentations of 3D volumetric T1-weighted MR images of 22 blind subjects and 28 matched controls. Using a new surface mapping algorithm described in (Shi, Y., Thompson, P.M., de Zubicaray, G.I., Rose, S.E., Tu, Z., Dinov, I., Toga, A.W., Direct mapping of hippocampal surfaces with intrinsic shape context, NeuroImage, Available online May 24, (In Press).), we created an average hippocampal surface for the controls, and computed its normal distance to each individual surface. Statistical maps were created to visualize systematic anatomical differences between groups, and randomization tests were performed to correct for multiple comparisons. In both scaled and unscaled data, the anterior right HP was significantly larger, and the posterior right HP significantly smaller in blind individuals. No significant differences were found for left HP. These differences may reflect adaptive responses to sensory deprivation, and/or increased functional demands on memory systems. They offer a neuroanatomical substrate for future correlations with measures of navigation performance or functional activations related to variations in cognitive strategies.

A mixed-signal multichip neural recording interface with bandwidth reduction

We present a multichip structure assembled with a medical-grade stainless-steel microelectrode array intended for neural recordings from multiple channels. The design features a mixed-signal integrated circuit (IC) that handles conditioning, digitization, and time-division multiplexing of neural signals, and a digital IC that provides control, bandwidth reduction, and data communications for telemetry toward a remote host. Bandwidth reduction is achieved through action potential detection and complete capture of waveforms by means of onchip data buffering. The adopted architecture uses high parallelism and low-power building blocks for safety and long-term implantability. Both ICs are fabricated in a CMOS 0.18-mum process and are subsequently mounted on the base of the microelectrode array. The chips are stacked according to a vertical integration approach for better compactness. The presented device integrates 16 channels, and is scalable to hundreds of recording channels. Its performance was validated on a testbench with synthetic neural signals. The proposed interface presents a power consumption of 138 muW per channel, a size of 2.30 mm(2), and achieves a bandwidth reduction factor of up to 48 with typical recordings.

Auditory pathways fail to re-establish normal cortical activation patterns in response to binaural stimulation following a unilateral lesion of the inferior colliculus

The aim of this study was to investigate cortical activation in response to binaural stimulus presentations in an individual (FX) with a circumscribed traumatic hemorrhagic lesion of the right inferior colliculus. FX and control subjects were exposed to complex sounds while undergoing a functional magnetic resonance imaging assessment. Whereas normally-hearing individuals show well-balanced bilateral activation patterns in response to binaural auditory stimulation, the same stimuli produced stronger activation in the left hemisphere in FX. Combined with previous data, these findings reinforce the notion that the inferior colliculus is an essential auditory relay and that its loss cannot be significantly compensated.

Odor localization and sniffing

For humans, the localization of an odorant seems only possible if the odorant also stimulates the trigeminal nerve. There is, however, some evidence that active sniffing may affect this ability and facilitate the localization of pure odorants. Therefore, we tested the ability of 40 subjects to localize a pure odorant and a mixed olfactory/trigeminal stimulus under 2 stimulation conditions: either odors were blown into the subjects' nostrils (passive) or subjects had to actively sniff the odors (active). Subjects could only reliably localize the mixed olfactory/trigeminal stimulus. However, we found a significant interaction between stimulation condition and nature of the odorant. So, the mixed olfactory/trigeminal stimulus was more localizable in the passive condition, whereas the pure odorant was better localized in the active condition. Interestingly, subjects had more correct answers after stimulation of the right nostril than of the left nostril (where subjects performed significantly below chance when stimulated with the pure odorant), suggesting possible laterality effects. These results suggest that active sniffing may affect our ability to localize odors. Other than mixed olfactory trigeminal stimuli, pure odorants are, however, not localizable even in active condition of sniffing.

Brain activity associated with the electrodermal reactivity to acute heat pain

Pain is associated with the activation of many brain areas involved in the multiple dimensions of the experience. Several of those brain areas may also contribute to the monitoring and regulation of autonomic activity but this aspect of pain responses has been largely overlooked in human imaging studies. This functional magnetic resonance imaging (fMRI) study relied on blood-oxygen level dependent (BOLD) signal to investigate subject-related differences in brain activity associated with the individual differences in electrodermal responses evoked by 30 s noxious (pain) and innocuous (warm) thermal stimuli. Pain-related activity (pain-warm) was found in the thalamus, somatosensory cortices (leg area of SI/MI, SII, and insula), the anterior cingulate cortex (ACC), and the amygdala. Brain activation related to stimulus-evoked electrodermal activity was identified by modeling the predicted BOLD responses with the magnitude of each subject's skin conductance reactivity. Subjects showing larger skin conductance reactivity to the innocuous and/or noxious stimuli displayed larger stimulus-evoked brain responses in the somato-motor cortices (SI/MI, SII, and insula), the perigenual and supracallosal ACC, the orbitofrontal cortex and the medulla. Further analyses revealed brain activation more specifically associated with the pain-related skin conductance reactivity in the supracallosal ACC, amygdala, thalamus, and hypothalamus. These findings demonstrate that individual differences in electrodermal reactivity partly reflect differences in pain-evoked brain responses, consistent with a role of these structures in the monitoring/regulation of pain-related autonomic processes.

Brain Differences Visualized in the Blind using Tensor Manifold Statistics and Diffusion Tensor Imaging

Diffusion tensor magnetic resonance imaging (DTI) reveals the local orientation and integrity of white matter fiber structure based on imaging multidirectional water diffusion. Group differences in DTI images are often computed from single scalar measures, e.g., the Fractional Anisotropy (FA), discarding much of the information in the 6-parameter symmetric diffusion tensor. Here, we compute multivariate 6D tensor statistics to detect brain morphological changes in 12 blind subjects versus 14 sighted controls. After Log-Euclidean tensor denoising, images were fluidly registered to a common template. Fluidly-convected tensor signals were re-oriented by applying the local rotational and translational component of the deformation. Since symmetric, positive-definite matrices form a non-Euclidean manifold, we applied a Riemannian manifold version of the Hotelling's T² test to the logarithms of the tensors, using a log-Euclidean metric. Statistics on the full 6D tensor-valued images outperformed univariate analysis of scalar images, such as the FA and the geodesic anisotropy (GA).

Ipsilateral cortical representation of tactile and painful information in acallosal and callosotomized subjects

Previous studies have shown that unilateral painful but not tactile stimulation produces ipsilateral cortical activation in callosotomized patients. Here, we used functional magnetic resonance imaging (fMRI) to compare activation evoked by tactile and thermal pain stimulation in two individuals with callosal agenesis, one callosotomized patient, and six control subjects. Bilateral tactile activation was found in S1 and/or S2 of both hemispheres in control and acallosal subjects whereas no ipsilateral activation was detected in these structures in the callosotomized participant. In contrast, although there was some inter-individual variability in the pattern of responses to pain, all subjects including the callosotomized patient showed ipsilateral responses in at least two of the target pain-related areas (S1, S2, insula and/or cingulate cortex). These findings are consistent with the plasticity of the touch system in callosal agenesis and further confirm that ipsilateral activation of pain-related regions does not require the integrity of the corpus callosum.

A noninvasive, presurgical expressive and receptive language investigation in a 9-year-old epileptic boy using near-infrared spectroscopy

The intracarotid amobarbital test (IAT) is used for presurgical evaluation of language lateralization. However, this procedure has many limitations, especially in children. As an alternative to IAT, in the case described here, near-infrared spectroscopy (NIRS) was used to investigate expressive and receptive language lateralization as part of the presurgical evaluation of a 9-year-old Yiddish-speaking boy with a probable left temporal epileptic focus. This child could not tolerate IAT or functional MRI. He underwent two NIRS recording sessions while performing expressive and receptive language tasks. Results indicated predominantly left-sided expressive language in Broca's area with ipsilateral cortical recruitment of more posterior regions. Receptive language showed a bilateral cerebral pattern, perhaps as an expression of cerebral plasticity or compensation in this young patient. This case report illustrates that NIRS may contribute to presurgical investigation and could become a noninvasive alternative to IAT and functional MRI in determining speech lateralization in children.

[Sensory loss and brain reorganization]

It is without a doubt that humans are first and foremost visual beings. Even though the other sensory modalities provide us with valuable information, it is vision that generally offers the most reliable and detailed information concerning our immediate surroundings. It is therefore not surprising that nearly a third of the human brain processes, in one way or another, visual information. But what happens when the visual information no longer reaches these brain regions responsible for processing it? Indeed numerous medical conditions such as congenital glaucoma, retinis pigmentosa and retinal detachment, to name a few, can disrupt the visual system and lead to blindness. So, do the brain areas responsible for processing visual stimuli simply shut down and become non-functional? Do they become dead weight and simply stop contributing to cognitive and sensory processes? Current data suggests that this is not the case. Quite the contrary, it would seem that congenitally blind individuals benefit from the recruitment of these areas by other sensory modalities to carry out non-visual tasks. In fact, our laboratory has been studying blindness and its consequences on both the brain and behaviour for many years now. We have shown that blind individuals demonstrate exceptional hearing abilities. This finding holds true for stimuli originating from both near and far space. It also holds true, under certain circumstances, for those who lost their sight later in life, beyond a period generally believed to limit the brain changes following the loss of sight. In the case of the early blind, we have shown their ability to localize sounds is strongly correlated with activity in the occipital cortex (the location of the visual processing), demonstrating that these areas are functionally engaged by the task. Therefore it would seem that the plastic nature of the human brain allows them to make new use of the cerebral areas normally dedicated to visual processing.

Effects of early binocular enucleation on auditory and somatosensory coding in the superior colliculus of the rat

The present study aimed at investigating the effects of early visual deprivation (bilateral neonatal enucleation) on auditory and somatosensory coding in the polysensory deep layers of the superior colliculus of the rat. The proportion of cells responding to auditory and somatosensory stimulation and the receptive field properties of single neurons were assessed in both normal and enucleated rats. As expected, in enucleated rats there was a drastic increase in the number of unresponsive units and visual responses could no longer be evoked. Most importantly, the proportion of cells that responded to auditory stimulation was drastically reduced. However, the few cells that remained responsive to auditory stimulation were well tuned to noise stimuli presented in both azimuth and elevation, principally in the contralateral hemifield. Enucleation also increased the proportion of cells responding to somatosensory stimulation, particularly to the vibrissae. Implications in terms of neural plasticity and functionality are discussed.

Receptive field properties and sensitivity to edges defined by motion in the postero-lateral lateral suprasylvian (PLLS) area of the cat

The present study investigated the spatial properties of cells in the postero-lateral lateral suprasylvian (PLLS) area of the cat and assessed their sensitivity to edges defined by motion. A total of one hundred and seventeen (117) single units were isolated. First, drifting sinusoidal gratings were used to assess the spatial properties of the cells' receptive fields and to determine their spatial frequency tuning functions. Second, random-dot kinematograms were used to create illusory edges by drifting textured stimuli (i.e. a horizontal bar) against a similarly textured but static background. Almost all the cells recorded in PLLS (96.0%) were binocular, and a substantial majority of receptive fields (79.2%) were end-stopped. Most units (81.0%) had band-pass spatial frequency tuning functions and responded optimally to low spatial frequencies (mean spatial frequency: 0.08 c./degree). The remaining units (19.0%) were low-pass. All the recorded cells responded vigorously to edges defined by motion. The vast majority (96.0%) of cells responded optimally to large texture elements; approximately half the cells (57.3%) also responded to finer texture elements. Moreover, 38.5% of the cells were selective to the width of the bar (i.e., the distance between the leading and the trailing edges). Finally, some (9.0%) cells responded in a transient fashion to leading and to trailing edges. In conclusion, cells in the PLLS area are low spatial frequency analyzers that are sensitive to texture and to the distance between edges defined by motion.

Near-infrared spectroscopy as an alternative to the Wada test for language mapping in children, adults and special populations

The intracarotid amobarbital test (IAT) is the most widely used procedure for pre-surgical evaluation of language lateralization in epileptic patients. However, apart from being invasive, this technique is not applicable in young children or patients who present mental retardation and/or language deficits. Functional magnetic resonance imaging (fMRI) is increasingly employed as a non-invasive alternative. Again, this method is more difficult to use with young children, especially hyperactive ones, since they have to remain motionless during data acquisition. The aim of this study was to determine whether near-infrared spectroscopy (NIRS) can be used as an alternative technique to investigate language lateralization in children and special populations. Unlike Wada test, NIRS is non-invasive, and it is more tolerant to movement artefacts than fMRI. In the present study, NIRS data were acquired in four epileptic children, a 12-year-old boy with pervasive developmental disorder and a 3-year-old, healthy child, as well as three healthy and two epileptic adults, while they performed a verbal fluency task and a control task. When applicable, the results were compared to the subjects' fMRI and/or IAT findings. Clear laterality of speech was obtained in all participants, including the two non-epileptic children, and NIRS results matched fMRI and IAT findings. These results, if replicable in larger samples, are encouraging and suggest that NIRS has the potential to become a viable, non-invasive alternative to IAT and fMRI in the determination of speech lateralization in children and clinical populations that cannot be submitted to more invasive techniques.

Non-invasive alternatives to the Wada test in the presurgical evaluation of language and memory functions in epilepsy patients

The cognitive outcome of the surgical removal of an epileptic focus depends on the assessment of the localisation and functional capacity of language and memory areas which need to be spared by the neurosurgeon. Traditionally, presurgical evaluation of epileptic patients has been achieved by means of the intracarotid amobarbital test assisted by neuropsychological measures. However, the advent of neuroimaging techniques has provided new ways of assessing these functions by means of non-invasive or minimally invasive methods, such as anatomical and functional magnetic resonance imaging, positron emission tomography, single-photon emission computed tomography, transcranial magnetic stimulation, functional transcranial Doppler monitoring, magnetoencephalography and near infrared spectroscopy. This paper aims at comparing and evaluating the traditional and recent preoperative approaches from a neuropsychological perspective.

Responses of inferior collicular cells to species-specific vocalizations in normal and enucleated rats

The inferior colliculus (IC) is an obligatory relay for the ascending and descending auditory pathways. Cells in this brainstem structure not only analyze auditory stimuli but they also play a major role in multi-modal integration of auditory and visual information. The aim of the present study was to determine whether cells in the central nucleus of the inferior colliculus (CNIC) of normal rats respond selectively to complex auditory signals, such as species-specific vocalizations, and compare their responses to those obtained in neonatal bilateral enucleated (P2-P3) adult rats. Extra-cellular recordings were carried out in anesthetized normal and enucleated rats using auditory stimuli (pure tones, broadband noise and vocalizations) presented in free field in a semi-anechoic chamber. The results indicate that most cells in the CNIC of both groups respond selectively to species-specific vocalizations better than to the same but inverted sounds. No significant differences were found between the normal and enucleated rat groups in their responses to broadband noise and pure tones.

Speech and non-speech audio-visual illusions: a developmental study

It is well known that simultaneous presentation of incongruent audio and visual stimuli can lead to illusory percepts. Recent data suggest that distinct processes underlie non-specific intersensory speech as opposed to non-speech perception. However, the development of both speech and non-speech intersensory perception across childhood and adolescence remains poorly defined. Thirty-eight observers aged 5 to 19 were tested on the McGurk effect (an audio-visual illusion involving speech), the Illusory Flash effect and the Fusion effect (two audio-visual illusions not involving speech) to investigate the development of audio-visual interactions and contrast speech vs. non-speech developmental patterns. Whereas the strength of audio-visual speech illusions varied as a direct function of maturational level, performance on non-speech illusory tasks appeared to be homogeneous across all ages. These data support the existence of independent maturational processes underlying speech and non-speech audio-visual illusory effects.

Auditory processing in a patient with a unilateral lesion of the inferior colliculus

The role of the inferior colliculus (IC) in human auditory processing is still poorly understood. We report here the results obtained with a 12-year-old boy (FX) who suffered a very circumscribed lesion of the right IC without additional neurological damage. The child underwent an extensive battery of psychophysical hearing tests. Results revealed normal peripheral auditory functioning, bilaterally. Furthermore, masking-level differences and frequency-pattern recognition were normal for each ear. When the right ear was stimulated, behavioural tests assessing central auditory processing yielded normal results. However, when the left ear was stimulated, speech recognition in the presence of a competing ipsilateral signal and duration-pattern recognition were impaired. Similarly, performance on two dichotic speech recognition tests was poor when the target stimulus was presented in the left and the competing signal in the right ear. Finally, sound-source localization in space was deficient for speakers located on the side contralateral to the lesion. The pattern of results suggests that auditory functions such as recognition of low-redundancy speech presented monaurally, recognition of tone duration patterns, binaural separation and integration, as well as sound-source localization in space, depend on the integrity of the bilateral auditory pathways at the IC level.

A role for the inferior colliculus in multisensory speech integration

Multisensory integration can occur at relatively low levels within the central nervous system. Recent evidence suggests that multisensory audio-visual integration for speech may have a subcortical component, as acoustic processing in the human brainstem is influenced by lipreading during speech perception. Here, stimuli depicting the McGurk illusion (a demonstration of auditory-visual integration using speech stimuli) were presented to a 12-year-old child (FX) with a circumscribed unilateral lesion of the right inferior colliculus. When McGurk-type stimuli were presented in the contralesional hemifield, illusory perception reflecting bimodal integration was significantly reduced compared with the ipsilesional hemifield and a group of age-matched controls. These data suggest a functional role for the inferior colliculus in the audio-visual integration of speech stimuli.

Neuropsychology: traditional and new methods of investigation

The neuropsychological assessment is an integral part of the clinical investigation of patients suffering from epilepsy. The aim of the evaluation is to determine disease-related and treatment-related effects on cognition and behavior in order to orient therapeutic interventions, by taking into account the compensatory mechanisms that are available to the patient. Examples of the tests best illustrating the classical neuropsychological protocol are presented. Neuropsychology also plays an important role in the assessment of language lateralization in patients slated for epilepsy surgery. Traditionally, this has been achieved by means of the rather invasive Wada procedure. However, with the advent of new neuroimaging techniques, this procedure is gradually being replaced by minimally invasive or noninvasive methods, such as functional magnetic resonance imaging, positron emission tomography, and optical imaging. In the present paper, we discuss some of the newer techniques that are available to the neuropsychologist for the study of the impact of epilepsy on cerebral functioning.

Auditory responses in the visual cortex of neonatally enucleated rats

A number of studies on humans and animals have demonstrated better auditory abilities in blind with respect to sighted subjects and have tried to define the mechanisms through which this compensation occurs. The aim of the present study, therefore, was to examine the participation of primary visual cortex (V1) to auditory processing in early enucleated rats. Here we show, using gaussian noise bursts, that about a third of the cells in V1 responded to auditory stimulation in blind rats and most of these (78%) had ON-type responses and low spontaneous activity. Moreover, they were distributed throughout visual cortex without any apparent tonotopic organization. Optimal frequencies determined using pure tones were rather high but comparable to those found in auditory cortex of blind and sighted rats. On the other hand, sensory thresholds determined at these frequencies were higher and bandwidths were wider in V1 of the blind animals. Blind and sighted rats were also stimulated for 60 min with gaussian noise, their brains removed and processed for c-Fos immunohistochemistry. Results revealed that c-Fos positive cells were not only present in auditory cortex of both groups of rats but there was a 10-fold increase in labeled cells in V1 and a fivefold increase in secondary visual cortex (V2) of early enucleated rats in comparisons to sighted ones. Also, the pattern of distribution of these labeled cells across layers suggests that the recruitment of V1 could originate at least in part through inputs arising from the thalamus. The ensemble of results appears to indicate that cross-modal compensation leading to improved performance in the blind depends on cell recruitment in V1 but probably also plastic changes in lower- and higher-order visual structures and possibly in the auditory system.

Development of visual texture segregation during the first year of life: a high-density electrophysiological study

There are important developmental changes occurring during infancy in visual cortical structures that underlie higher-order perceptual abilities. Using high-density electrophysiological recording techniques, the present study aimed to examine the development of visual mechanisms, during the first year of life, associated with texture segregation. Forty-two normal full term infants were tested at 1, 3, 6 or 12 months of age. Visual-evoked potentials to low-level stimuli varying in orientation (oriVEP) and higher-level textured stimuli (texVEP) were recorded from 128 scalp electrodes. Difference potentials were obtained to extract the VEP component associated specifically with texture segregation (tsVEP). Results show a clear developmental pattern regarding amplitude, latency and scalp distribution of tsVEP, which appears at around 3 months but does not reach maturity by 12 months of age. A reduction in latency is particularly evident between 3 and 6 months, whereas amplitude shows a gradual increase with a marked increment between 3 and 6 months for low-level orientation stimuli and between 6 and 12 months for higher-level textured stimuli. These developmental patterns are attributed to neural maturational processes such as myelination and synaptogenesis. The differential developmental rates can be explained by delayed maturational processes of brain regions involved in more complex visual processing.

Spatio-temporal receptive field properties of cells in the rat superior colliculus

Although the rat is widely used in neurobehavioural research, the spatio-temporal receptive field properties of neurons in superficial layers of the superior colliculus are relatively unknown. Extracellular recordings were carried out in anesthetized Long Evans rats. Neurons in these layers had simple-like and complex-like receptive fields (RFs). Most cells (67%) had RFs showing band-pass and low-pass spatial frequency (SF) tuning profiles. Spatial band-pass profiles showed low optimal SF (mean=0.03 c/deg), low spatial resolution (mean=0.18 c/deg) and large spatial bandwidths (mean=2.3 octaves). More than two-thirds of the RFs (71%) were selective to orientation and only 11% were clearly direction selective. Nearly two-thirds of cells (68%) had band-pass temporal frequency (TF) tuning profiles with narrow bandwidths (mean=1.7 oct.) whereas the others showed low-pass TF tuning profiles. Temporal band-pass profiles had low optimal TFs (mean=3.5 c/s). Although some cells showed relatively low contrast thresholds (6%), most cells only responded to high contrast values (mean=38.2%). These results show that the spatial resolution of collicular cells is poor and that they respond mainly to highly contrasted moving stimuli.

Developmental delay and magnocellular visual pathway function in very-low-birthweight preterm infants

This study investigated the effect of very preterm birth (gestation < or =30wks) and very low birth weight (< or =1500g) on the development of magnocellular and parvocellular visual processing streams. Participants were preterm infants (n=55: 31 females, 24 males) born between 24 and 30 weeks'gestation (mean 27.4wks [SD 1.3]), weighing between 720 and 1470g (mean 1015g [SD 215]) and term infants (n=52: 27 females, 25 males) born between 38 and 42 weeks'gestation (mean 39.4wks [SD 0.9]), weighing between 2670 and 4405g (mean 3549g [SD 440]). Visual-evoked potentials to phase-reversing sine-wave gratings, varying in spatial frequency and contrast, were used to elicit magnocellular and parvocellular specific responses. Previous studies found that the N1 component reflects the parvocellular response, while P1 reflects the magnocellular response in adults and infants. Findings from the current study indicate significantly lower P1 amplitudes in preterm compared with term infants under most conditions. No difference was found for the amplitude of the N1 waveform. Results indicate that, for the age-range tested, preterm birth has little effect on the development of parvocellular function, while it appears to disrupt the development of magnocelluar function.

Cross-modal reorganization and speech perception in cochlear implant users

Recent work suggests that once the auditory cortex of deaf persons has been reorganized by cross-modal plasticity, it can no longer respond to signals from a cochlear implant (CI) installed subsequently. To further examine this issue, we compared the evoked potentials involved in the processing of visual stimuli between CI users and hearing controls. The stimuli were concentric circles replaced by a different overlapping shape, inducing a shape transformation, known to activate the ventral visual pathway in human adults. All CI users had their device implanted for >1 year, but obtained different levels of auditory performance following training to establish language comprehension. Seven of the 13 patients showed good capacities for speech recognition with the CI (good performers) while the six others demonstrated poor speech recognition abilities (poor performers). The evoked potentials of all patients showed larger amplitudes, with different distributions of scalp activations between the two groups. The poor performers exhibited broader, anteriorly distributed, high P2 amplitudes over the cortex whereas the good performers showed significantly higher P2 amplitudes over visual occipital areas. These results suggest the existence of a profound cross-modal reorganization in the poor performers and an intramodal reorganization in the good performers. We interpret these data on the basis of enhanced audiovisual coupling as the key to a long-term functional improvement in speech discrimination in CI users.