Auditory perceptual consolidation in early-onset blindness

Young adults and multisensory time perception: Visual and auditory pathways in comparison

The brain continuously encodes information about time, but how sensorial channels interact to achieve a stable representation of such ubiquitous information still needs to be determined. According to recent research, children show a potential interference in multisensory conditions, leading to a trade-off between two senses (sight and audition) when considering time-perception tasks. This study aimed to examine how healthy young adults behave when performing a time-perception task. In Experiment 1, we tested the effects of temporary sensory deprivation on both visual and auditory senses in a group of young adults. In Experiment 2, we compared the temporal performances of young adults in the auditory modality with those of two samples of children (sighted and sighted but blindfolded) selected from a previous study. Statistically significant results emerged when comparing the two pathways: young adults overestimated and showed a higher sensitivity to time in the auditory modality compared to the visual modality. Restricting visual and auditory input did not affect their time sensitivity. Moreover, children were more accurate at estimating time than young adults after a transient visual deprivation. This implies that as we mature, sensory deprivation does not constitute a benefit to time perception, and supports the hypothesis of a calibration process between senses with age. However, more research is needed to determine how this calibration process affects the developmental trajectories of time perception.

The perceptual timescape: Perceptual history on the sub-second scale

There is a high-capacity store of brief time span (∼1000 ms) which information enters from perceptual processing, often called iconic memory or sensory memory. It is proposed that a main function of this store is to hold recent perceptual information in a temporally segregated representation, named the perceptual timescape. The perceptual timescape is a continually active representation of change and continuity over time that endows the perceived present with a perceived history. This is accomplished primarily by two kinds of time marking information: time distance information, which marks all items of information in the perceptual timescape according to how far in the past they occurred, and ordinal temporal information, which organises items of information in terms of their temporal order. Added to that is information about connectivity of perceptual objects over time. These kinds of information connect individual items over a brief span of time so as to represent change, persistence, and continuity over time. It is argued that there is a one-way street of information flow from perceptual processing either to the perceived present or directly into the perceptual timescape, and thence to working memory. Consistent with that, the information structure of the perceptual timescape supports postdictive reinterpretations of recent perceptual information. Temporal integration on a time scale of hundreds of milliseconds takes place in perceptual processing and does not draw on information in the perceptual timescape, which is concerned with temporal segregation, not integration.

Late Blindness and Deafness are Associated with Decreased Tactile Sensitivity, But Early Blindness is Not

Perceptual experience is shaped by a complex interaction between our sensory systems in which each sense conveys information on specific properties of our surroundings. This multisensory processing of complementary information improves the accuracy of our perceptual judgments and leads to more precise and faster reactions. Sensory impairment or loss in one modality leads to information deficiency that can impact other senses in various ways. For early auditory or visual loss, impairment and/or compensatory increase of the sensitivity of other senses are equally well described. Investigating individuals with deafness (N = 73), early (N = 51), late blindness (N = 49) and corresponding controls, we compared tactile sensitivity using the standard monofilament test on two locations, the finger and handback. Results indicate lower tactile sensitivity in people with deafness and late blindness but not in people with early blindness compared to respective controls, irrespective of stimulation location, gender, and age. Results indicate that neither sensory compensation nor simple use-dependency or a hindered development of the tactile sensory system is sufficient to explain changes in somatosensation after the sensory loss but that a complex interaction of effects is present.

The Effects of Psychophysical Methods on Spectral and Spatial TOJ Thresholds

(1) Background: A large number of studies have used different psychophysical methods for measuring temporal order judgment (TOJ) thresholds, which makes it difficult to compare the results of different studies. In this study, we aimed to compare the thresholds measured by the two main procedures used in many studies, the adaptive procedure, and the method of constant stimuli; (2) Methods: Study 1 tested spatial TOJ and included 109 participants, 50 using the adaptive procedure and 59 using the constant stimuli procedure. Study 2 tested spectral TOJ and included 223 participants, 119 using the adaptive procedure and 104 using constant stimuli; (3) Results: Both the spatial and spectral TOJ results showed no difference between the psychophysical methods, either in (1) the form of the distribution; (2) the mean; or (3) the standard deviation. However, Bayesian analysis showed a large Bayes factor only for spatial TOJ; (4) Conclusions: There is no difference between spatial TOJ thresholds measured by an adaptive procedure and the method of constant stimuli, and their results can be compared across studies. A similar conclusion can be drawn also for spectral TOJ, but should be considered more cautiously.

Enhanced Dichotic Listening and Temporal Sequencing Ability in Early-Blind Individuals

Several studies have reported the better auditory performance of early-blind subjects over sighted subjects. However, few studies have compared the auditory functions of both hemispheres or evaluated interhemispheric transfer and binaural integration in blind individuals. Therefore, we evaluated whether there are differences in dichotic listening, auditory temporal sequencing ability, or speech perception in noise (all of which have been used to diagnose central auditory processing disorder) between early-blind subjects and sighted subjects. The study included 23 early-blind subjects and 22 age-matched sighted subjects. In the dichotic listening test (three-digit pair), the early-blind subjects achieved higher scores than the sighted subjects in the left ear (p = 0.003, Bonferroni’s corrected α = 0.05/6 = 0.008), but not in the right ear, indicating a right ear advantage in sighted subjects (p < 0.001) but not in early-blind subjects. In the frequency patterning test (five tones), the early-blind subjects performed better (both ears in the humming response, but the left ear only in the labeling response) than the sighted subjects (p < 0.008, Bonferroni’s corrected α = 0.05/6 = 0.008). Monosyllable perception in noise tended to be better in early-blind subjects than in sighted subjects at a signal-to-noise ratio of –8 (p = 0.054), the results at signal-to-noise ratios of –4, 0, +4, and +8 did not differ. Acoustic change complex responses to/ba/in babble noise, recorded with electroencephalography, showed a greater N1 peak amplitude at only FC5 electrode under a signal-to-noise ratio of –8 and –4 dB in the early-blind subjects than in the sighted subjects (p = 0.004 and p = 0.003, respectively, Bonferroni’s corrected α = 0.05/5 = 0.01). The results of this study revealed early-blind subjects exhibited some advantages in dichotic listening, and temporal sequencing ability compared to those shown in sighted subjects. These advantages may be attributable to the enhanced activity of the central auditory nervous system, especially the right hemisphere function, and the transfer of auditory information between the two hemispheres.

Delayed Auditory Brainstem Responses (ABR) in children after sight-recovery

Studies in non-human animal models have revealed that in early development, the onset of visual input gates the critical period closure of some auditory functions. The study of rare individuals whose sight was restored after a period of congenital blindness offers the rare opportunity to assess whether early visual input is a prerequisite for the full development of auditory functions in humans as well. Here, we investigated whether a few months of delayed visual onset would affect the development of Auditory Brainstem Responses (ABRs). ABRs are widely used in the clinical practice to assess both functionality and development of the subcortical auditory pathway and, provide reliable data at the individual level. We collected Auditory Brainstem Responses from two case studies, young children (both having less than 5 years of age) who experienced a transient visual deprivation since birth due to congenital bilateral dense cataracts (BC), and who acquired sight at about two months of age. As controls, we tested 41 children (sighted controls, SC) with typical development, as well as two children who were treated (at about two months of age) for congenital monocular cataracts (MC). The SC group data served to predict, at the individual level, wave latencies of each BC and MC participant. Statistics were performed both at the single subject as well as at the group levels on latencies of main ABR waves (I, III, V and SN10). Results revealed delayed response latencies for both BC children compared with the SC group starting from the wave III. Conversely, no difference emerged between MC children and the SC group. These findings suggest that in case the onset of patterned visual input is delayed, the functional development of the subcortical auditory pathway lags behind typical developmental trajectories. Ultimately results are in favor of the presence of a crossmodal sensitive period in the human subcortical auditory system.

The extended present: an informational context for perception

Several previous authors have proposed a kind of specious or subjective present moment that covers a few seconds of recent information. This article proposes a new hypothesis about the subjective present, renamed the extended present, defined not in terms of time covered but as a thematically connected information structure held in working memory and in transiently accessible form in long-term memory. The three key features of the extended present are that information in it is thematically connected, both internally and to current attended perceptual input, it is organised in a hierarchical structure, and all information in it is marked with temporal information, specifically ordinal and duration information. Temporal boundaries to the information structure are determined by hierarchical structure processing and by limits on processing and storage capacity. Supporting evidence for the importance of hierarchical structure analysis is found in the domains of music perception, speech and language processing, perception and production of goal-directed action, and exact arithmetical calculation. Temporal information marking is also discussed and a possible mechanism for representing ordinal and duration information on the time scale of the extended present is proposed. It is hypothesised that the extended present functions primarily as an informational context for making sense of current perceptual input, and as an enabler for perception and generation of complex structures and operations in language, action, music, exact calculation, and other domains.

Auditory speed processing in sighted and blind individuals

Multisensory experience is crucial for developing a coherent perception of the world. In this context, vision and audition are essential tools to scaffold spatial and temporal representations, respectively. Since speed encompasses both space and time, investigating this dimension in blindness allows deepening the relationship between sensory modalities and the two representation domains. In the present study, we hypothesized that visual deprivation influences the use of spatial and temporal cues underlying acoustic speed perception. To this end, ten early blind and ten blindfolded sighted participants performed a speed discrimination task in which spatial, temporal, or both cues were available to infer moving sounds' velocity. The results indicated that both sighted and early blind participants preferentially relied on temporal cues to determine stimuli speed, by following an assumption that identified as faster those sounds with a shorter duration. However, in some cases, this temporal assumption produces a misperception of the stimulus speed that negatively affected participants' performance. Interestingly, early blind participants were more influenced by this misleading temporal assumption than sighted controls, resulting in a stronger impairment in the speed discrimination performance. These findings demonstrate that the absence of visual experience in early life increases the auditory system's preference for the time domain and, consequentially, affects the perception of speed through audition.

Data-Driven Classification of Spectral Profiles Reveals Brain Region-Specific Plasticity in Blindness

Congenital blindness has been shown to result in behavioral adaptation and neuronal reorganization, but the underlying neuronal mechanisms are largely unknown. Brain rhythms are characteristic for anatomically defined brain regions and provide a putative mechanistic link to cognitive processes. In a novel approach, using magnetoencephalography resting state data of congenitally blind and sighted humans, deprivation-related changes in spectral profiles were mapped to the cortex using clustering and classification procedures. Altered spectral profiles in visual areas suggest changes in visual alpha-gamma band inhibitory-excitatory circuits. Remarkably, spectral profiles were also altered in auditory and right frontal areas showing increased power in theta-to-beta frequency bands in blind compared with sighted individuals, possibly related to adaptive auditory and higher cognitive processing. Moreover, occipital alpha correlated with microstructural white matter properties extending bilaterally across posterior parts of the brain. We provide evidence that visual deprivation selectively modulates spectral profiles, possibly reflecting structural and functional adaptation.

The perceived present: What is it, and what is it there for?

It is proposed that the perceived present is not a moment in time, but an information structure comprising an integrated set of products of perceptual processing. All information in the perceived present carries an informational time marker identifying it as "present". This marker is exclusive to information in the perceived present. There are other kinds of time markers, such as ordinality ("this stimulus occurred before that one") and duration ("this stimulus lasted for 50 ms"). These are different from the "present" time marker and may be attached to information regardless of whether it is in the perceived present or not. It is proposed that the perceived present is a very short-term and very high-capacity holding area for perceptual information. The maximum holding time for any given piece of information is ~100 ms: This is affected by the need to balance the value of informational persistence for further processing against the problem of obsolescence of the information. The main function of the perceived present is to facilitate access by other specialized, automatic processes.

The Cross-Modal Effects of Sensory Deprivation on Spatial and Temporal Processes in Vision and Audition: A Systematic Review on Behavioral and Neuroimaging Research since 2000

One of the most significant effects of neural plasticity manifests in the case of sensory deprivation when cortical areas that were originally specialized for the functions of the deprived sense take over the processing of another modality. Vision and audition represent two important senses needed to navigate through space and time. Therefore, the current systematic review discusses the cross-modal behavioral and neural consequences of deafness and blindness by focusing on spatial and temporal processing abilities, respectively. In addition, movement processing is evaluated as compiling both spatial and temporal information. We examine whether the sense that is not primarily affected changes in its own properties or in the properties of the deprived modality (i.e., temporal processing as the main specialization of audition and spatial processing as the main specialization of vision). References to the metamodal organization, supramodal functioning, and the revised neural recycling theory are made to address global brain organization and plasticity principles. Generally, according to the reviewed studies, behavioral performance is enhanced in those aspects for which both the deprived and the overtaking senses provide adequate processing resources. Furthermore, the behavioral enhancements observed in the overtaking sense (i.e., vision in the case of deafness and audition in the case of blindness) are clearly limited by the processing resources of the overtaking modality. Thus, the brain regions that were previously recruited during the behavioral performance of the deprived sense now support a similar behavioral performance for the overtaking sense. This finding suggests a more input-unspecific and processing principle-based organization of the brain. Finally, we highlight the importance of controlling for and stating factors that might impact neural plasticity and the need for further research into visual temporal processing in deaf subjects.

Comparison of temporal judgments in sighted and visually impaired children

AIM

We studied visually impaired and blind children to investigate the effects of visual damage on time perception.

METHODS

Sixty-three children (11 blind, 16 visually impaired, 20 sighted and 16 sighted but blindfolded) performed a temporal bisection task, which consisted of judging different temporal intervals presented in the auditory modality.

RESULTS

The visually impaired children showed lower constant error than sighted children but higher variability (Weber ratio). The blindfolded children had a temporal estimation comparable to the clinical groups and time sensitivity comparable to the controls.

CONCLUSION

These findings are interpreted in the light of inter-modality interference, assuming that the coexistence of both sensory modalities, present only in controls, leads to a trade-off between the two senses with an indirect contribution of sight, which does not happen either in the clinical groups or in the blindfolded children, despite the single sensory task.

Influence of Visual Deprivation on Auditory Spectral Resolution, Temporal Resolution, and Speech Perception

We evaluated whether blind subjects have advantages in auditory spectral resolution, temporal resolution, and speech perception in noise compared with sighted subjects. We also compared psychoacoustic performance between early blind (EB) subjects and late blind (LB) subjects. Nineteen EB subjects, 16 LB subjects, and 20 sighted individuals were enrolled. All subjects were right-handed with normal and symmetric hearing thresholds and without cognitive impairments. Three psychoacoustic measurements of the subjects’ right ears were performed via an inserted earphone to determine spectral-ripple discrimination (SRD), temporal modulation detection (TMD), and speech recognition threshold (SRT) in noisy conditions. Acoustic change complex (ACC) responses were recorded during passive listening to standard ripple-inverted ripple stimuli. EB subjects exhibited better SRD than did LB (p = 0.020) and sighted (p = 0.003) subjects. TMD was better in EB (p < 0.001) and LB (p = 0.007) subjects compared with sighted subjects. SRD was positively correlated with the duration of blindness (r = 0.386, p = 0.024). Acoustic change complex data for ripple noise change at the Cz and Fz electrodes showed trends toward significant correlations with the behavioral results. In conclusion, compared with sighted subjects, EB subjects showed advantages in terms of auditory spectral and temporal resolution, while LB subjects showed an advantage in temporal resolution exclusively. These findings suggest that it might take longer for auditory spectral resolution to functionally enhance following visual deprivation compared to temporal resolution. Alternatively, a critical period of very young age may be required for auditory spectral resolution to improve following visual deprivation.

Do People who Became Blind Early in Life Develop a Better Sense of Smell? A Psychophysical Study

Using a set of psychophysical tests, we compared the olfactory abilities of 8 persons who became blind early in life and 16 sighted persons in a control group who were matched for age, sex, and handedness. The results indicated that those who became blind early in life developed compensatory perceptual mechanisms in the olfactory domain that involve basic sensory processes, such as the detection of odors.

Cortical phase locking to accelerated speech in blind and sighted listeners prior to and after training

Cross-correlation of magnetoencephalography (MEG) with time courses derived from the speech signal has shown differences in phase-locking between blind subjects able to comprehend accelerated speech and sighted controls. The present training study contributes to disentangle the effects of blindness and training. Both subject groups (baseline: n = 16 blind, 13 sighted; trained: 10 blind, 3 sighted) were able to enhance speech comprehension up to ca. 18 syllables per second. MEG responses phase-locked to syllable onsets were captured in five pre-defined source locations comprising left and right auditory cortex (A1), right visual cortex (V1), left inferior frontal gyrus (IFG) and left pre-supplementary motor area. Phase locking in A1 was consistently increased while V1 showed opposite training effects in blind and sighted subjects. Also the IFG showed some group differences indicating enhanced top-down strategies in sighted subjects while blind subjects may have a more fine-grained bottom-up resolution for accelerated speech.

Mental Imagery Follows Similar Cortical Reorganization as Perception: Intra-Modal and Cross-Modal Plasticity in Congenitally Blind

Cortical plasticity in congenitally blind individuals leads to cross-modal activation of the visual cortex and may lead to superior perceptual processing in the intact sensory domains. Although mental imagery is often defined as a quasi-perceptual experience, it is unknown whether it follows similar cortical reorganization as perception in blind individuals. In this study, we show that auditory versus tactile perception evokes similar intra-modal discriminative patterns in congenitally blind compared with sighted participants. These results indicate that cortical plasticity following visual deprivation does not influence broad intra-modal organization of auditory and tactile perception as measured by our task. Furthermore, not only the blind, but also the sighted participants showed cross-modal discriminative patterns for perception modality in the visual cortex. During mental imagery, both groups showed similar decoding accuracies for imagery modality in the intra-modal primary sensory cortices. However, no cross-modal discriminative information for imagery modality was found in early visual cortex of blind participants, in contrast to the sighted participants. We did find evidence of cross-modal activation of higher visual areas in blind participants, including the representation of specific-imagined auditory features in visual area V4.

Enhanced perception of pitch changes in speech and music in early blind adults

It is well known that congenitally blind adults have enhanced auditory processing for some tasks. For instance, they show supra-normal capacity to perceive accelerated speech. However, only a few studies have investigated basic auditory processing in this population. In this study, we investigated if pitch processing enhancement in the blind is a domain-general or domain-specific phenomenon, and if pitch processing shares the same properties as in the sighted regarding how scores from different domains are associated. Fifteen congenitally blind adults and fifteen sighted adults participated in the study. We first created a set of personalized native and non-native vowel stimuli using an identification and rating task. Then, an adaptive discrimination paradigm was used to determine the frequency difference limen for pitch direction identification of speech (native and non-native vowels) and non-speech stimuli (musical instruments and pure tones). The results show that the blind participants had better discrimination thresholds than controls for native vowels, music stimuli, and pure tones. Whereas within the blind group, the discrimination thresholds were smaller for musical stimuli than speech stimuli, replicating previous findings in sighted participants, we did not find this effect in the current control group. Further analyses indicate that older sighted participants show higher thresholds for instrument sounds compared to speech sounds. This effect of age was not found in the blind group. Moreover, the scores across domains were not associated to the same extent in the blind as they were in the sighted. In conclusion, in addition to providing further evidence of compensatory auditory mechanisms in early blind individuals, our results point to differences in how auditory processing is modulated in this population.

What determines the speed of speech recognition? Evidence from congenitally blind adults

It is a matter of debate, whether and how improved auditory discrimination abilities enable speeded speech comprehension in congenitally blind adults. Previous research has concentrated on semantic and syntactic aspects of processing. Here we investigated phonologically mediated spoken word access processes by means of word onset priming. Blind adults and age- and gender-matched sighted adults listened to spoken word onsets (primes) followed by complete words (targets). Phonological overlap between primes and targets varied. Blind participants made faster lexical decision responses than sighted participants, yet their speeded responses were not restricted to phonologically overlapping trials. Furthermore, timing of Event Related Potential (ERP) results did not differ between blind and sighted participants. Together these results suggest that blind and sighted listeners are equally fast in implicit phonological encoding and lexical matching mechanisms. It appears that blind adults' speeded speech processing emerges when phonological analysis makes promising word candidates available for further processing. As one possible interpretation, we speculate that lexical selection processes in blind adults do not need to wait for information from the visual domain, while auditory-visual integration mechanisms are mandatorily implemented in speech recognition routines of sighted adults.

Gait adaptations after vestibular stimulation in children with congenital visual impairments: a comparative study

Purpose. The study is based on the hypothesis that individuals with congenital total or partial loss of vision develop more effective gait adjustments compared with those who are sighted, after stimulation of the vestibular system. Therefore, they are able to manage their motor control better. The aim was to investigate the way individuals with congenital total or partial vision loss adjust their gait following vestibular stimulation, compared with sighted blindfolded individuals. Methods. The total of 10 children with congenital visual impairments constituted the experimental group and 10 children with normal vision (blindfolded with special mask) formed the control group. We performed gait analysis (forward and backward gait direction) with a three-dimensional gait analysis system. The walking speed (m/s) of each group, before and after the vestibular stimulation, during forward and backward gait, was analysed. Results. The average walking speed of the children in the experimental group, statistically, revealed no significant differences before and after the vestibular stimulation. Conversely, in the control group, statistically significant differences in the mean walking speed before and after the vestibular system stimulation were found. Conclusions. Children with congenital total or partial blindness may adapt their gait strategy more adequately, after vestibular stimulation, during forward and backward gait, as compared with sighted blindfolded children. Consequently, the first group is in the position to manage their motor control more sufficiently.

The implicit learning of metrical and non-metrical rhythms in blind and sighted adults

Forming temporal expectancies plays a crucial role in our survival as it allows us to identify the occurrence of temporal deviants that might signal potential dangers. The dynamic attending theory suggests that temporal expectancies are formed more readily for rhythms that imply a beat (i.e., metrical rhythms) compared to those that do not (i.e., nonmetrical rhythms). Moreover, metrical frameworks can be used to detect temporal deviants. Although several studies have demonstrated that congenital or early blindness correlates with modality-specific neural changes that reflect compensatory mechanisms, few have examined whether blind individuals show a learning advantage for auditory rhythms and whether learning can occur unintentionally and without awareness, that is, implicitly. We compared blind to sighted controls in their ability to implicitly learn metrical and nonmetrical auditory rhythms. We reasoned that the loss of sight in blindness might lead to improved sensitivity to rhythms and predicted that the blind learn rhythms more readily than the sighted. We further hypothesized that metrical rhythms are learned more readily than nonmetrical rhythms. Results partially confirmed our predictions; the blind group learned nonmetrical rhythms more readily than the sighted group but the blind group learned metrical rhythms less readily than the sighted group. Only the sighted group learned metrical rhythms more readily than nonmetrical rhythms. The blind group demonstrated awareness of the nonmetrical rhythms while learning was implicit for all other conditions. Findings suggest that improved deviant-sensitivity might have provided the blind group a learning advantage for nonmetrical rhythms. Future research could explore the plastic changes that affect deviance-detection and stimulus-specific adaptation in blindness.

Emotion processing in early blind and sighted individuals

OBJECTIVE

Emotion processing is known to be mediated by a complex network of cortical and subcortical regions with evidence of specialized hemispheric lateralization within the brain. In light of prior evidence indicating that lateralization of cognitive functions (such as language) may depend on normal visual development, we investigated whether the lack of prior visual experience would have an impact on the development of specialized hemispheric lateralization in emotional processing.

METHOD

We addressed this issue by comparing performance in early blind and sighted controls on a dichotic listening task requiring the detection of specific emotional vocalizations (i.e., suggestive of happiness or sadness) presented independently to either ear.

RESULTS

Consistent with previous studies, we found that sighted individuals showed enhanced detection of positive vocalizations when presented in the right ear (i.e., processed within the left hemisphere) and negative vocalizations when presented in the left ear (i.e., right hemisphere). It is interesting to note that although blind individuals were as accurate as sighted controls in detecting the valance of the vocalization, performance was not consistent with any pattern of specialized hemispheric lateralization.

CONCLUSIONS

Overall, these results suggest that although the lack of prior visual experience may not lead to impaired emotion processing performance, the underlying neurophysiological substrate (i.e., degree of special hemispheric lateralization) may depend on normal visual development. (PsycINFO Database Record

Comparison of auditory stream segregation in sighted and early blind individuals

An important characteristic of the auditory system is the capacity to analyze complex sounds and make decisions on the source of the constituent parts of these sounds. Blind individuals compensate for the lack of visual information by an increase input from other sensory modalities, including increased auditory information. The purpose of the current study was to compare the fission boundary (FB) threshold of sighted and early blind individuals through spectral aspects using a psychoacoustic auditory stream segregation (ASS) test. This study was conducted on 16 sighted and 16 early blind adult individuals. The applied stimuli were presented sequentially as the pure tones A and B and as a triplet ABA-ABA pattern at the intensity of 40dBSL. The A tone frequency was selected as the basis at values of 500, 1000, and 2000Hz. The B tone was presented with the difference of a 4-100% above the basis tone frequency. Blind individuals had significantly lower FB thresholds than sighted people. FB was independent of the frequency of the tone A when expressed as the difference in the number of equivalent rectangular bandwidths (ERBs). Early blindness may increase perceptual separation of the acoustic stimuli to form accurate representations of the world.

Early but not late blindness leads to enhanced arithmetic and working memory abilities

Behavioural and neurophysiological evidence suggest that vision plays an important role in the emergence and development of arithmetic abilities. However, how visual deprivation impacts on the development of arithmetic processing remains poorly understood. We compared the performances of early (EB), late blind (LB) and sighted control (SC) individuals during various arithmetic tasks involving addition, subtraction and multiplication of various complexities. We also assessed working memory (WM) performances to determine if they relate to a blind person's arithmetic capacities. Results showed that EB participants performed better than LB and SC in arithmetic tasks, especially in conditions in which verbal routines and WM abilities are needed. Moreover, EB participants also showed higher WM abilities. Together, our findings demonstrate that the absence of developmental vision does not prevent the development of refined arithmetic skills and can even trigger the refinement of these abilities in specific tasks.

The Sound of Vision Project: On the Feasibility of an Audio-Haptic Representation of the Environment, for the Visually Impaired

The Sound of Vision project involves developing a sensory substitution device that is aimed at creating and conveying a rich auditory representation of the surrounding environment to the visually impaired. However, the feasibility of such an approach is strongly constrained by neural flexibility, possibilities of sensory substitution and adaptation to changed sensory input. We review evidence for such flexibility from various perspectives. We discuss neuroplasticity of the adult brain with an emphasis on functional changes in the visually impaired compared to sighted people. We discuss effects of adaptation on brain activity, in particular short-term and long-term effects of repeated exposure to particular stimuli. We then discuss evidence for sensory substitution such as Sound of Vision involves, while finally discussing evidence for adaptation to changes in the auditory environment. We conclude that sensory substitution enterprises such as Sound of Vision are quite feasible in light of the available evidence, which is encouraging regarding such projects.

Self-motion direction discrimination in the visually impaired

Despite the close interrelation between vestibular and visual processing (e.g., vestibulo-ocular reflex), surprisingly little is known about vestibular function in visually impaired people. In this study, we investigated thresholds of passive whole-body motion discrimination (leftward vs. rightward) in nine visually impaired participants and nine age-matched sighted controls. Participants were rotated in yaw, tilted in roll, and translated along the interaural axis at two different frequencies (0.33 and 2 Hz) by means of a motion platform. Superior performance of visually impaired participants was found in the 0.33 Hz roll tilt condition. No differences were observed in the other motion conditions. Roll tilts stimulate the semicircular canals and otoliths simultaneously. The results could thus reflect a specific improvement in canal-otolith integration in the visually impaired and are consistent with the compensatory hypothesis, which implies that the visually impaired are able to compensate the absence of visual input.

Improved beat asynchrony detection in early blind individuals

Although early blind (EB) individuals are thought to have a better musical sense than sighted subjects, no study has investigated the musical rhythm and beat processing abilities in EB individuals. Using an adaptive 'up and down' procedure, we measured the beat asynchrony detection threshold and the duration discrimination threshold, in the auditory and vibrotactile modalities in both EB and sighted control (SC) subjects matched for age, gender, and musical experience. We observed that EB subjects were better than SC in the beat asynchrony detection task; that is, they showed lower thresholds than SC, both in the auditory and in the vibrotactile modalities. In addition, EB subjects had a lower threshold than SC for duration discrimination in the vibrotactile modality only. These improved beat asynchrony detection abilities may contribute to the known excellent musical abilities often observed in many blind subjects.

Effects of congenital blindness on the subcortical representation of speech cues

Human modalities play a vital role in the way the brain produces mental representations of the world around us. Although congenital blindness limits the understanding of the environment in some aspects, blind individuals may have other superior capabilities from long-term experience and neural plasticity. This study investigated the effects of congenital blindness on temporal and spectral neural encoding of speech at the subcortical level. The study included 26 congenitally blind individuals and 24 normal-sighted individuals with normal hearing. Auditory brainstem response (ABR) was recorded with both click and speech synthetic 40-ms /da/ stimuli. No significant difference was observed between the two groups in wave latencies or amplitudes of click ABR. Latencies of speech ABR D (p=0.012) and O (p=0.014) waves were significantly shorter in blind individuals than in normal-sighted individuals. Amplitudes of the A (p<0.001) and E (p=0.001) speech ABR (sABR) waves were also significantly higher in blind subjects. Blind individuals had significantly better results for duration (p<0.001) amplitude (p=0.015) and slope of the V-A complex (p=0.004), signal-to-noise ratio (p<0.001), and amplitude of the stimulus fundamental frequency (F0) (p=0.009), first formant (F1) (p<0.001) and higher-frequency region (HF) (p<0.001) ranges. Results indicate that congenitally blind subjects have improved hearing function in response to the /da/ syllable in both source and filter classes of sABR. It is possible that these subjects have enhanced neural representation of vocal cord vibrations and improved neural synchronization in temporal encoding of the onset and offset parts of speech stimuli at the brainstem level. This may result from the compensatory mechanism of neural reorganization in blind subjects influenced from top-down corticofugal connections with the auditory cortex.

How can audiovisual pathways enhance the temporal resolution of time-compressed speech in blind subjects?

In blind people, the visual channel cannot assist face-to-face communication via lipreading or visual prosody. Nevertheless, the visual system may enhance the evaluation of auditory information due to its cross-links to (1) the auditory system, (2) supramodal representations, and (3) frontal action-related areas. Apart from feedback or top-down support of, for example, the processing of spatial or phonological representations, experimental data have shown that the visual system can impact auditory perception at more basic computational stages such as temporal signal resolution. For example, blind as compared to sighted subjects are more resistant against backward masking, and this ability appears to be associated with activity in visual cortex. Regarding the comprehension of continuous speech, blind subjects can learn to use accelerated text-to-speech systems for "reading" texts at ultra-fast speaking rates (>16 syllables/s), exceeding by far the normal range of 6 syllables/s. A functional magnetic resonance imaging study has shown that this ability, among other brain regions, significantly covaries with BOLD responses in bilateral pulvinar, right visual cortex, and left supplementary motor area. Furthermore, magnetoencephalographic measurements revealed a particular component in right occipital cortex phase-locked to the syllable onsets of accelerated speech. In sighted people, the "bottleneck" for understanding time-compressed speech seems related to higher demands for buffering phonological material and is, presumably, linked to frontal brain structures. On the other hand, the neurophysiological correlates of functions overcoming this bottleneck, seem to depend upon early visual cortex activity. The present Hypothesis and Theory paper outlines a model that aims at binding these data together, based on early cross-modal pathways that are already known from various audiovisual experiments on cross-modal adjustments during space, time, and object recognition.

Ultra-fast speech comprehension in blind subjects engages primary visual cortex, fusiform gyrus, and pulvinar - a functional magnetic resonance imaging (fMRI) study

Background

Individuals suffering from vision loss of a peripheral origin may learn to understand spoken language at a rate of up to about 22 syllables (syl) per second - exceeding by far the maximum performance level of normal-sighted listeners (ca. 8 syl/s). To further elucidate the brain mechanisms underlying this extraordinary skill, functional magnetic resonance imaging (fMRI) was performed in blind subjects of varying ultra-fast speech comprehension capabilities and sighted individuals while listening to sentence utterances of a moderately fast (8 syl/s) or ultra-fast (16 syl/s) syllabic rate.

Results

Besides left inferior frontal gyrus (IFG), bilateral posterior superior temporal sulcus (pSTS) and left supplementary motor area (SMA), blind people highly proficient in ultra-fast speech perception showed significant hemodynamic activation of right-hemispheric primary visual cortex (V1), contralateral fusiform gyrus (FG), and bilateral pulvinar (Pv).

Conclusions

Presumably, FG supports the left-hemispheric perisylvian “language network”, i.e., IFG and superior temporal lobe, during the (segmental) sequencing of verbal utterances whereas the collaboration of bilateral pulvinar, right auditory cortex, and ipsilateral V1 implements a signal-driven timing mechanism related to syllabic (suprasegmental) modulation of the speech signal. These data structures, conveyed via left SMA to the perisylvian “language zones”, might facilitate – under time-critical conditions – the consolidation of linguistic information at the level of verbal working memory.

Short term memory and working memory in blind versus sighted children

There is evidence that blind people may strengthen their memory skills to compensate for absence of vision. However, which aspects of memory are involved is open to debate and a developmental perspective is generally lacking. In the present study, we compared the short term memory (STM) and working memory (WM) of 10-year-old blind children and sighted children. STM was measured using digit span forward, name learning, and word span tasks; WM was measured using listening span and digit span backward tasks. The blind children outperformed their sighted peers on both STM and WM tasks. The enhanced capacity of the blind children on digit span and other STM tasks confirms the results of earlier research; the significantly better performance of the blind children relative to their sighted peers on verbal WM tasks is a new interesting finding. Task characteristics, including the verbal nature of the WM tasks and strategies used to perform these tasks, are discussed.

Cognitive and neuroplasticity mechanisms by which congenital or early blindness may confer a protective effect against schizophrenia

Several authors have noted that there are no reported cases of people with schizophrenia who were born blind or who developed blindness shortly after birth, suggesting that congenital or early (C/E) blindness may serve as a protective factor against schizophrenia. By what mechanisms might this effect operate? Here, we hypothesize that C/E blindness offers protection by strengthening cognitive functions whose impairment characterizes schizophrenia, and by constraining cognitive processes that exhibit excessive flexibility in schizophrenia. After briefly summarizing evidence that schizophrenia is fundamentally a cognitive disorder, we review areas of perceptual and cognitive function that are both impaired in the illness and augmented in C/E blindness, as compared to healthy sighted individuals. We next discuss: (1) the role of neuroplasticity in driving these cognitive changes in C/E blindness; (2) evidence that C/E blindness does not confer protective effects against other mental disorders; and (3) evidence that other forms of C/E sensory loss (e.g., deafness) do not reduce the risk of schizophrenia. We conclude by discussing implications of these data for designing cognitive training interventions to reduce schizophrenia-related cognitive impairment, and perhaps to reduce the likelihood of the development of the disorder itself.

Positive Clinical Neuroscience

Disorders of the brain and its sensory organs have traditionally been associated with deficits in movement, perception, cognition, emotion, and behavior. It is increasingly evident, however, that positive phenomena may also occur in such conditions, with implications for the individual, science, medicine, and for society. This article provides a selective review of such positive phenomena – enhanced function after brain lesions, better-than-normal performance in people with sensory loss, creativity associated with neurological disease, and enhanced performance associated with aging. We propose that, akin to the well-established field of positive psychology and the emerging field of positive clinical psychology, the nascent fields of positive neurology and positive neuropsychology offer new avenues to understand brain-behavior relationships, with both theoretical and therapeutic implications.

Tracking the speech signal--time-locked MEG signals during perception of ultra-fast and moderately fast speech in blind and in sighted listeners

Blind people can learn to understand speech at ultra-high syllable rates (ca. 20 syllables/s), a capability associated with hemodynamic activation of the central-visual system. To further elucidate the neural mechanisms underlying this skill, magnetoencephalographic (MEG) measurements during listening to sentence utterances were cross-correlated with time courses derived from the speech signal (envelope, syllable onsets and pitch periodicity) to capture phase-locked MEG components (14 blind, 12 sighted subjects; speech rate=8 or 16 syllables/s, pre-defined source regions: auditory and visual cortex, inferior frontal gyrus). Blind individuals showed stronger phase locking in auditory cortex than sighted controls, and right-hemisphere visual cortex activity correlated with syllable onsets in case of ultra-fast speech. Furthermore, inferior-frontal MEG components time-locked to pitch periodicity displayed opposite lateralization effects in sighted (towards right hemisphere) and blind subjects (left). Thus, ultra-fast speech comprehension in blind individuals appears associated with changes in early signal-related processing mechanisms both within and outside the central-auditory terrain.

Differential cognitive and perceptual correlates of print reading versus braille reading

The relations between reading, auditory, speech, phonological and tactile spatial processing are investigated in a Dutch speaking sample of blind braille readers as compared to sighted print readers. Performance is assessed in blind and sighted children and adults. Regarding phonological ability, braille readers perform equally well compared to print readers on phonological awareness, better on verbal short-term memory and significantly worse on lexical retrieval. The groups do not differ on speech perception or auditory processing. Braille readers, however, have more sensitive fingers than print readers. Investigation of the relations between these cognitive and perceptual skills and reading performance indicates that in the group of braille readers auditory temporal processing has a longer lasting and stronger impact not only on phonological abilities, which have to satisfy the high processing demands of the strictly serial language input, but also directly on the reading ability itself. Print readers switch between grapho-phonological and lexical reading modes depending on the familiarity of the items. Furthermore, the auditory temporal processing and speech perception, which were substantially interrelated with phonological processing, had no direct associations with print reading measures.

Different Response Patterns Between Auditory Spectral and Spatial Temporal Order Judgment (TOJ)

Temporal order judgment (TOJ) thresholds have been widely reported as valid estimates of the temporal disparity necessary for correctly identifying the order of two stimuli. Data for two auditory TOJ paradigms are often reported in the literature: (1) spatially-based TOJ in which the order of presentation of the same stimulus to the right and left ear differs; and (2) spectrally-based TOJ in which the order of two stimuli differing in frequency is presented to one ear or to both ears simultaneously. Since the thresholds reported using the two paradigms differ, the aim of the current study was to compare their response patterns. The results from three different experiments showed that: (1) while almost none of the participants were able to perform the spatial TOJ task when ISI = 5 ms, with the spectral task, 50% reached an accuracy level of 75% when ISI = 5 ms; (2) temporal separation was only a partial predictor for performance in the spectral task, while it fully predicted performance in the spatial task; and (3) training improved performance markedly in the spectral TOJ task, but had no effect on spatial TOJ. These results suggest that the two paradigms may reflect different perceptual mechanisms.

Evidence for enhanced discrimination of virtual auditory distance among blind listeners using level and direct-to-reverberant cues

Totally blind listeners often demonstrate better than normal capabilities when performing spatial hearing tasks. Accurate representation of three-dimensional auditory space requires the processing of available distance information between the listener and the sound source; however, auditory distance cues vary greatly depending upon the acoustic properties of the environment, and it is not known which distance cues are important to totally blind listeners. Our data show that totally blind listeners display better performance compared to sighted age-matched controls for distance discrimination tasks in anechoic and reverberant virtual rooms simulated using a room-image procedure. Totally blind listeners use two major auditory distance cues to stationary sound sources, level and direct-to-reverberant ratio, more effectively than sighted controls for many of the virtual distances tested. These results show that significant compensation among totally blind listeners for virtual auditory spatial distance leads to benefits across a range of simulated acoustic environments. No significant differences in performance were observed between listeners with partial non-correctable visual losses and sighted controls, suggesting that sensory compensation for virtual distance does not occur for listeners with partial vision loss.

The influence of preterm birth on structural alterations of the vision-deprived brain

Differences in brain structures between blind and sighted individuals have not been widely investigated. Furthermore, existing studies have included individuals who were blinded by retinopathy of prematurity, a condition that is associated with premature birth. Recent pediatric research has reported structural differences in individuals who were born prematurely, suggesting that some of the structural abnormalities previously observed in blind individuals may be related to prematurity rather than being specific to blindness. In the present study, we used voxel-based morphometry to investigate gray and white matter differences between 24 blind and 16 sighted individuals. Of the blind individuals, six were born prematurely and 18 at term. Compared to those born at term, blind individuals born preterm showed differences in gray, but not white, matter volumes in various brain regions. When the preterm individuals were excluded from analysis, there were significant differences between blind and sighted individuals. Full-term blind individuals showed regional gray matter decreases in the cuneus, lingual gyrus, middle occipital gyrus, precuneus, inferior and superior parietal lobules, and the thalamus, and gray matter increases in the globus pallidus. They also showed regional white matter decreases in the cuneus, lingual gyrus, and the posterior cingulate. These differences were observed in blind individuals irrespective of blindness onset age, providing evidence for structural alterations in the mature brain. Our findings highlight the importance of considering the potential impact of premature birth on neurodevelopmental outcomes in studies of blind individuals.

Vibrotactile masking experiments reveal accelerated somatosensory processing in congenitally blind braille readers

Braille reading is a demanding task that requires the identification of rapidly varying tactile patterns. During proficient reading, neighboring characters impact the fingertip at ∼100 ms intervals, and adjacent raised dots within a character at 50 ms intervals. Because the brain requires time to interpret afferent sensorineural activity, among other reasons, tactile stimuli separated by such short temporal intervals pose a challenge to perception. How, then, do proficient Braille readers successfully interpret inputs arising from their fingertips at such rapid rates? We hypothesized that somatosensory perceptual consolidation occurs more rapidly in proficient Braille readers. If so, Braille readers should outperform sighted participants on masking tasks, which demand rapid perceptual processing, but would not necessarily outperform the sighted on tests of simple vibrotactile sensitivity. To investigate, we conducted two-interval forced-choice vibrotactile detection, amplitude discrimination, and masking tasks on the index fingertips of 89 sighted and 57 profoundly blind humans. Sighted and blind participants had similar unmasked detection (25 ms target tap) and amplitude discrimination (compared with 100 μm reference tap) thresholds, but congenitally blind Braille readers, the fastest readers among the blind participants, exhibited significantly less masking than the sighted (masker, 50 Hz, 50 μm; target-masker delays, ±50 and ±100 ms). Indeed, Braille reading speed correlated significantly and specifically with masking task performance, and in particular with the backward masking decay time constant. We conclude that vibrotactile sensitivity is unchanged but that perceptual processing is accelerated in congenitally blind Braille readers.

Semantic and phonemic verbal fluency in blinds

A person who has suffered the total loss of a sensory system has, indirectly, suffered a brain lesion. Semantic and phonologic verbal fluency are used for evaluation of executive function and language. The aim of this study is evaluation and comparison of phonemic and semantic verbal fluency in acquired blinds. We compare 137 blinds and 124 sighted people in verbal fluency task. The tasks were phonemic and semantic verbal fluency test that subjects should be generate as many word as possible in a limited amount of time for a given letter (Phonemic fluency) or a given category (Semantic fluency). Independent T Test was used to comparing blind with sighted. Findings show significant difference between two groups so that that sighted subjects have higher performance in semantic verbal fluency task (p = 0.000). Comparing sighted and blind subjects in phonemic verbal fluency task shows performance in sighted subjects (p = 0.000). Based on this study blinds have lower performance in semantic and phonemic verbal fluency task as a executive function of frontal lobe.

Neural and behavioral discrimination of sound duration by cats

Sound duration is important for distinguishing auditory object. Previous studies on the neural representation of duration have usually lacked psychophysical data obtained from the same species; hence, the correspondence between neural and behavioral discrimination of duration remains obscure. We addressed this issue in cats by using the signal detection theory to investigate both neural activities in the primary auditory cortex (A1) and the cat's behavioral performance. We found that 320 ms duration can be well discriminated from 10 ms duration by some A1 neurons with specific response patterns: sustained response extended proportionally with the increase of stimulus duration and the On-Off response synchronizing stimulus onset and offset. Neurons with only On response cannot discriminate duration. The discrimination performance of both sustained and On-Off responses deteriorated as the target duration decreased from 320 to 20 ms and the percentage of discriminative neurons (correct rate >0.75) decreased from 40 to 2%. Compared with the psychophysical results, we found that the psychometric functions of cats well matched the neurometric functions of most sustained-response neurons and a small number of On-Off-response neurons. Pooling the spikes of multiple units improved neural discrimination, which may be attributable to the salience (noise reduction) of the responses in pooled data. Our results suggest that the sustained and Off responses of A1 neurons underlie the duration discrimination behavior of cats.

Auditory and auditory-tactile processing in congenitally blind humans

Studying blind humans is an excellent opportunity to investigate how experience might shape auditory processing. In everyday life, blind humans rely more on auditory information than sighted humans to recognize people, localize events, or process language. A growing number of studies have provided evidence that the increased use of the auditory system results in compensatory behavior in the blind. Blind humans perform better in perceptual auditory tasks, like pitch or duration discrimination, and in auditory language and memory tasks. Neural plasticity at different levels of the auditory processing stream has been linked to these behavioral benefits. In everyday life, many events stimulate more than one sensory system. Multisensory research has cumulated evidence that the integration of information across modalities facilitates perception and action control. Neurophysiological correlates of multisensory interactions have been described for various subcortical and cortical areas. There is evidence that vision plays a pivotal role in setting up multisensory functions during ontogeny. This article summarizes evidence for a reorganization of multisensory brain areas and reduced crossmodal interactions on the behavioral level following congenital visual deprivation.

Enhanced speech perception capabilities in a blind listener are associated with activation of fusiform gyrus and primary visual cortex

Blind individuals may learn to understand ultra-fast synthetic speech at a rate of up to about 25 syllables per second (syl)/s, an accomplishment by far exceeding the maximum performance level of normal-sighted listeners (8-10 syl/s). The present study indicates that this exceptional skill engages distinct regions of the central-visual system. Hemodynamic brain activation during listening to moderately- (8 syl/s) and ultra-fast speech (16 syl/s) was measured in a blind individual and six normal-sighted controls. Moderately-fast speech activated posterior and anterior 'language zones' in all subjects. Regarding ultra-fast tokens, the controls showed exclusive activation of supratemporal regions whereas the blind participant exhibited enhanced left inferior frontal and temporoparietal responses as well as significant hemodynamic activation of left fusiform gyrus (FG) and right primary visual cortex. Since left FG is known to be involved in phonological processing, this structure, presumably, provides the functional link between the central-auditory and -visual systems.

Functional characteristics of auditory cortex in the blind

We used functional magnetic resonance imaging (fMRI) to examine responses within auditory cortical fields during the passive listening of pure tone (PT) and frequency modulated (FM) stimuli in seven early blind (EB), five late blind (LB) and six sighted control (SC) individuals. Subjects were scanned using a "sparse sampling" imaging technique while listening to PT and FM sounds presented at either low (400 Hz) or high (4 kHz) center frequencies. When high tones were directly compared to low tones, the resulting activation maps showed a general tonotopic organization within the superior and middle temporal lobes at statistically significant thresholds for the SC and LB groups while the EB group showed a comparable tonotopic organization but only at statistically non-significance thresholds. A contrast of all tonal stimuli to a quiet baseline similarly revealed significantly less signal volume in the EB than in either the LB or SC groups. These results suggest that EB does not alter inherent patterns of tonotopic organization but rather, under low-demand listening conditions, results in a more efficient processing of simple auditory stimuli within the early stages of the auditory hierarchy. While these effects must be interpreted cautiously due to the small sample sizes, they indicate that functional responses in auditory cortical areas are altered by visual deprivation and that intramodal auditory plasticity may underlie previously reported auditory advantages observed in the blind.

Linking cortical spike pattern codes to auditory perception

Abstract Neurometric analysis has proven to be a powerful tool for studying links between neural activity and perception, especially in visual and somatosensory cortices, but conventional neurometrics are based on a simplistic rate-coding hypothesis that is clearly at odds with the rich and complex temporal spiking patterns evoked by many natural stimuli. In this study, we investigated the possible relationships between temporal spike pattern codes in the primary auditory cortex (A1) and the perceptual detection of subtle changes in the temporal structure of a natural sound. Using a two-alternative forced-choice oddity task, we measured the ability of human listeners to detect local time reversals in a marmoset twitter call. We also recorded responses of neurons in A1 of anesthetized and awake ferrets to these stimuli, and analyzed these responses using a novel neurometric approach that is sensitive to temporal discharge patterns. We found that although spike count-based neurometrics were inadequate to account for behavioral performance on this auditory task, neurometrics based on the temporal discharge patterns of populations of A1 units closely matched the psychometric performance curve, but only if the spiking patterns were resolved at temporal resolutions of 20 msec or better. These results demonstrate that neurometric discrimination curves can be calculated for temporal spiking patterns, and they suggest that such an extension of previous spike count-based approaches is likely to be essential for understanding the neural correlates of the perception of stimuli with a complex temporal structure.

Preparatory activity in occipital cortex in early blind humans predicts auditory perceptual performance

Early onset blindness leads to a dramatic alteration in the way the world is perceived, a change that is detectable in the organization of the brain. Several studies have confirmed that blindness leads to functional alterations in occipital cortices that normally serve visual functions. These reorganized brain regions respond to a variety of tasks and stimuli, but their specific functions are unclear. In sighted individuals, several studies have reported preparatory activity in retinotopic areas, which enhances perceptual sensitivity. "Baseline shifts," changes in activity associated with a cue predicting an upcoming event, provides a marker for attentional modulation. Here we demonstrate that, in early blind subjects, medial occipital areas produced significant blood oxygenation level-dependent (BOLD) responses to a cue signaling an auditory discrimination trial but not to a cue indicating a no-trial period. Furthermore, the amplitude of the BOLD response in the anterior calcarine sulcus of early blind subjects correlated with their discrimination performance on the auditory backward masking task. Preparatory BOLD responses also were present in auditory cortices, although they were more robust in blind than sighted control subjects. The pattern of response in visual areas is similar to preparatory effects observed during visual selective attention in sighted subjects and consistent with the hypothesis that the mechanisms implicated in visual attention continue to modulate occipital cortex in the early blind. A possible source of this top-down modulation may be the frontoparietal circuits that retain their connectivity with the reorganized occipital cortex and as a result influence processing of nonvisual stimuli in the blind.