Weglage Anna, Layer Natalie, Radecke Jan-Ole, Meister Hartmut, Müller Verena, Lang-Roth Ruth, Walger Martin, Sandmann Pascale
Cochlear Implant Centre, Department of Otorhinolaryngology, Head and Neck Surgery, Audiology and Pediatric Audiology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Department of Psychiatry and Psychotherapy, University of Lübeck, Lubeck, Germany.
J Neurosci Res. 2025 May;103(5):e70042. doi: 10.1002/jnr.70042.
Although a cochlear implant (CI) can partially restore auditory function, CI recipients show alterations not only in auditory but also in visual cortical processing. Yet, it is not well understood how these visual changes relate to the CI outcome and to what extent these changes are induced by auditory deprivation and the limited CI input, respectively. Here, we present a prospective longitudinal electroencephalography study which examined the deprivation- and CI-induced alterations on cortical face processing by comparing visual evoked potentials (VEP) in CI users before and 6 months after implantation. A group of normal-hearing (NH) listeners served as a control. The participants performed a word-identification task and a face-categorization task to study the cortical processing of static and articulating faces in attended and unattended conditions. The CI candidates and CI users showed a reduced visual-cortex activation, a stronger functional connectivity between the visual and auditory cortex, and a reduced attention effect in the (extended) alpha frequency range (8-18 Hz) when compared to NH listeners. There was a positive correlation between the P1 VEP amplitude recorded before implantation and the speech recognition ability after implantation. Our results suggest that the CI users' alterations in cortical face processing are mainly induced by auditory deprivation and not by CI experience. Importantly, these deprivation-induced changes seem to be related to the CI outcome. Our results suggest that the visual P1 amplitude as recorded before implantation provides an objective index of cortical visual reorganization that may help predict the CI outcome.
尽管人工耳蜗(CI)能部分恢复听觉功能,但接受CI者不仅在听觉皮层处理方面出现改变,在视觉皮层处理方面也有变化。然而,目前尚不清楚这些视觉变化如何与CI效果相关,以及这些变化分别在多大程度上是由听觉剥夺和有限的CI输入所诱发的。在此,我们开展了一项前瞻性纵向脑电图研究,通过比较CI使用者植入前和植入后6个月的视觉诱发电位(VEP),来检测剥夺和CI诱发的皮层面部处理改变。一组听力正常(NH)的聆听者作为对照。参与者执行单词识别任务和面部分类任务,以研究在有注意力和无注意力条件下静态和动态面部的皮层处理。与NH聆听者相比,CI候选者和CI使用者在(扩展的)α频率范围(8 - 18赫兹)内显示出视觉皮层激活减少、视觉和听觉皮层之间功能连接增强以及注意力效应减弱。植入前记录的P1 VEP振幅与植入后的言语识别能力之间存在正相关。我们的结果表明,CI使用者在皮层面部处理方面的改变主要是由听觉剥夺引起的,而非CI体验。重要的是,这些由剥夺引起的变化似乎与CI效果相关。我们的结果表明,植入前记录的视觉P1振幅提供了皮层视觉重组的客观指标,可能有助于预测CI效果。