Cortical plasticity and brain computer interface.

There is increasing evidence to support the concept that adult brain has the remarkable ability to plastically reorganize itself. Brain plasticity involves distinct functional and structural components and plays a crucial role in reorganizing central nervous system's networks after any lesion in order to partly or totally restore lost and/or compromised functions. The idea that a computer can decode brain electromagnetic signals to infer the intentions of a human and then enact those intentions directly through a machine is becoming a reasonable technical possibility. In neurological patients unable to move and to communicate with the external environment, technologies implementing brain-machine interfaces (BMIs) can be of valuable aid and support. The emerging possibility, through neuro-imaging advanced techniques, to clarify some crucial issues underlying brain plasticity will give the possibility to modulate these mechanisms in a BCI-oriented way. This approach may have a tremendous impact in a variety of neuropsychiatric disorders and the clinical advent of this technology will usher in a new era of restorative medicine.