Visual cortical activity before and after cochlear implantation: A follow up ERP prospective study in deaf children.

ERPs were recorded in response to presentation of static colored patterned stimuli in 25 children (19 to 80months of age at cochlear implantation, CI) with very early prelingual profound deafness (PreLD), 21 postlingual profoundly deaf children (PostLD) (34 to 180months of age at CI) and gender- and age-matched control hearing children. Recording sessions were performed before CI, then 6 and 24months after CI. Results showed that prelingual and, at a lesser degree, postlingual auditory deprivation altered cortical visual neural activity associated to colored shapes from both P1 and N1 cortical processing stages. The P1 and N1 amplitude modifications vanished about 24months after CI in both PreLD and PostLD deaf children. In PreLD the visual processing pattern becomes similar to the typical one essentially by an amplitude decrease of P1 on the left hemisphere together with an amplitude increase of the N1 on the right hemisphere. Finally, in PreLD, increased LH advantage over the RH in N1 amplitude on the cerebellar-occipito-parietal region before CI showed a significant inverse relationship with speech perception outcomes 3years after CI. Investigating early visual processing development and its neural substrates in deaf children would help to understand the variability of CI outcome, because their cortical visual organization diverged from the one of typically developing hearing children, and cannot be predicted from what is observed in deaf adults.