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.

Visual and auditory socio-cognitive perception in unilateral temporal lobe epilepsy in children and adolescents: a prospective controlled study.

AIM: A high rate of abnormal social behavioural traits or perceptual deficits is observed in children with unilateral temporal lobe epilepsy. In the present study, perception of auditory and visual social signals, carried by faces and voices, was evaluated in children or adolescents with temporal lobe epilepsy. METHODS: We prospectively investigated a sample of 62 children with focal non-idiopathic epilepsy early in the course of the disorder. The present analysis included 39 children with a confirmed diagnosis of temporal lobe epilepsy. Control participants (72), distributed across 10 age groups, served as a control group. Our socio-perceptual evaluation protocol comprised three socio-visual tasks (face identity, facial emotion and gaze direction recognition), two socio-auditory tasks (voice identity and emotional prosody recognition), and three control tasks (lip reading, geometrical pattern and linguistic intonation recognition). All 39 patients also benefited from a neuropsychological examination. RESULTS: As a group, children with temporal lobe epilepsy performed at a significantly lower level compared to the control group with regards to recognition of facial identity, direction of eye gaze, and emotional facial expressions. We found no relationship between the type of visual deficit and age at first seizure, duration of epilepsy, or the epilepsy-affected cerebral hemisphere. Deficits in socio-perceptual tasks could be found independently of the presence of deficits in visual or auditory episodic memory, visual non-facial pattern processing (control tasks), or speech perception. A normal FSIQ did not exempt some of the patients from an underlying deficit in some of the socio-perceptual tasks. CONCLUSION: Temporal lobe epilepsy not only impairs development of emotion recognition, but can also impair development of perception of other socio-perceptual signals in children with or without intellectual deficiency. Prospective studies need to be designed to evaluate the results of appropriate re-education programs in children presenting with deficits in social cue processing.

Narrowing perceptual sensitivity to the native language in infancy: exogenous influences on developmental timing.

The infancy literature situates the perceptual narrowing of speech sounds at around 10 months of age, but little is known about the mechanisms that influence individual differences in this developmental milestone. We hypothesized that such differences might in part be explained by characteristics of mother-child interaction. Infant sensitivity to syllables from their native tongue was compared longitudinally to sensitivity to non-native phonemes, at 6 months and again at 10 months. We replicated previous findings that at the group level, both 6- and 10- month-olds were able to discriminate contrasts in their native language, but only 6-month-olds succeeded in discriminating contrasts in the non-native language. However, when discrimination was assessed for separate groups on the basis of mother-child interaction-a 'high contingency group' and a 'moderate contingency' group-the vast majority of infants in both groups showed the expected developmental pattern by 10 months, but only infants in the 'high contingency' group showed early specialization for their native phonemes by failing to discriminate non-native contrasts at 6-months. The findings suggest that the quality of mother-child interaction is one of the exogenous factors influencing the timing of infant specialization for speech processing.

Words and syllables in fluent speech segmentation by French-learning infants: an ERP study.

In order to acquire their native language, infants must learn to identify and segment word forms in continuous speech. This word segmentation ability is thus crucial for language acquisition. Previous behavioral studies have shown that it emerges during the first year of life, and that early segmentation differs according to the language in acquisition. In particular, linguistic rhythm, which differs across classes of languages, has been found to have an early impact on segmentation abilities. For French, behavioral evidence showed that infants could use the rhythmic unit appropriate to their native language (the syllable) to segment fluent speech by 12months of age, but failed to show whole word segmentation at that age, a surprising delay compared to the emergence of segmentation abilities in other languages. Given the implications of such findings, the present study reevaluates the issue of whole word and syllabic segmentation, using an electrophysiological method, high-density ERPs (event-related potentials), rather than a behavioral technique, and by testing French-learning 12-month-olds on bisyllabic word segmentation. The ERP data show evidence of whole word segmentation while also confirming that French-learning infants rely on syllables to segment fluent speech. They establish that segmentation and recognition of words/syllables happen within 500ms of their onset, and raise questions regarding the interaction between syllabic segmentation and multisyllabic word recognition.

Effect of partial occlusion on newborns' face preference and recognition.

Many studies have shown that newborns prefer (e.g. Goren, Sarty & Wu, 1975; Valenza, Simion, Macchi Cassia & Umiltà, 1996) and recognize (e.g. Bushnell, Say & Mullin, 1989; Pascalis & de Schonen, 1994) faces. However, it is not known whether, at birth, faces are still preferred and recognized when some of their parts are not visible because hindered by other configurations, that is when faces are partly occluded. Also, it is not known whether newborns' preference for an upright over an inverted face and newborns' face recognition are differentially affected depending on the salience of the occluded face features. Seventy-seven newborns (mean age of 43.5 hrs) were tested using the preferential looking (Experiment 1) and the habituation techniques (Experiment 2). Results demonstrated that newborns prefer and recognize occluded faces even if some portions of them are not available, at least when the hindered features are not salient. On the contrary, these abilities are affected by obscuring high salience facial features (i.e. eyes). However, while in the case of face detection, eyes occlusion completely prevented newborns' face detection, in the case of face recognition an analogous stimulus manipulation heavily impaired, but did not totally preclude, newborns' recognition performance. The data collected improve our comprehension of newborns' way of processing and encoding information to detect and recognize faces.

Nonidiopathic focal epilepsies: methodological problems for a comprehensive neuropsychological evaluation.

In aiming to define better practice parameters for neuropsychological assessment in patients with nonidiopathic partial epilepsies, particularly in children, we discuss the reasons for the current lack of clear answers. The relevant factors include the epilepsy itself, the complexity of the issues related to cognitive function/dysfunction and the underlying developmental processes. Another factor is the lack of availability and high cost of neuropsychological testing, even in industrialized societies. Because of these factors, the need for neuropsychological testing must be considered on an individual basis in the initial evaluation of every child with focal epilepsy; it should be left to the clinician and parents to decide which children will actually be referred. Systematic presurgical and postsurgical testing is important for surgical candidates. Comprehensive research protocols should be designed on a collaborative basis between large epilepsy centers, covering all the essential parameters to be evaluated. Children with focal epilepsies should be included in these protocols from the onset of the epilepsy.

Cerebral plasticity in crossed C7 grafts of the brachial plexus: an fMRI study.

In order to rescue elbow flexion after complete accidental avulsion of one brachial plexus, seven patients underwent a neurotization of the biceps with fibers from the contralateral C7 root. The C7 fibers used for the graft belonged to the pyramidal pathway, which descends from the cerebral hemisphere ipsilateral to the damaged plexus, and which controls extension and abduction of the contralateral arm. After several months of reeducation, a functional magentic resonance imaging study was performed with a 1.5 tesla clinical magnetic resonance scan system, in order to investigate the central neural networks involved in the recovery of elbow flexion. Functional brain images were acquired under four conditions: flexion of each of the two elbows, and imagined flexion of each elbow. Results show that flexion of the neurotized arm is associated with a bilateral network activity. The contralateral cortex originally involved in control of the rescued arm still participates in the elaboration and control of the task through the bilateral premotor and primary motor cortex. The location of the ipsilateral clusters in the primary motor, premotor, supplementary motor area, and posterior parietal areas is similar among patients. The location of contralateral activations within the same areas differs across patients.

Early brain lesions and face-processing development.

Studies of functional plasticity after pre- or perinatal brain damage can tell us whether the neural substrate normally involved in the development of a given ability is specific and, if so, when it becomes functionally specified and unique. Development of face processing was investigated in 5- to 17-year-old children who had a unilateral brain injury in the pre-, peri-, or postnatal period. In Studies 1 and 2, patients with a posterior injury involving the temporal regions exhibited a face-processing deficit that was independent of their age at test time. Even though differences were observed between the two hemispheres in face processing during infancy as well as in adults in cases of normal development, no clear differences between right and left injury were observed here in face-processing deficit. Poor postlesional face-processing plasticity seems to contrast with results of several studies on speech development after early unilateral injury. If the difference in the time window for postlesional plasticity between these two areas of competency is confirmed, it would suggest that the two kinds of abilities rely on neural cells which are sensitive to different plasticity factors.

Recognition of own-race and other-race faces by three-month-old infants.

BACKGROUND: People are better at recognizing faces of their own race than faces of another race. Such race specificity may be due to differential expertise in the two races. METHOD: In order to find out whether this other-race effect develops as early as face-recognition skills or whether it is a long-term effect of acquired expertise, we tested face recognition in 3-month-old Caucasian infants by conducting two experiments using Caucasian and Asiatic faces and a visual pair-comparison task. We hypothesized that if the other race effect develops together with face processing skills during the first months of life, the ability to recognize own-race faces will be greater than the ability to recognize other-race faces: 3-month-old Caucasian infants should be better at recognizing Caucasian faces than Asiatic faces. If, on the contrary, the other-race effect is the long-term result of acquired expertise, no difference between recognizing own- and other-race faces will be observed at that age. RESULTS: In Experiment 1, Caucasian infants were habituated to a single face. Recognition was assessed by a novelty preference paradigm. The infants' recognition performance was better for Caucasian than for Asiatic faces. In Experiment 2, Caucasian infants were familiarized with three individual faces. Recognition was demonstrated with both Caucasian and Asiatic faces. CONCLUSIONS: These results suggest that (i) the representation of face information by 3-month-olds may be race-experience-dependent (Experiment 1), and (ii) short-term familiarization with exemplars of another race group is sufficient to reduce the other-race effect and to extend the power of face processing (Experiment 2).

Effect of visual experience on face processing: a developmental study of inversion and non-native effects.

In adults, three phenomena are taken to demonstrate an experience effect on face recognition: an inversion effect, a non-native face effect (so-called 'other-race' effect) and their interaction. It is crucial for our understanding of the developmental perception mechanisms of object processing to discover when these effects are present in childhood. Three- to 5-year-old Caucasian children (N = 64) were asked to recognize upright and inverted Caucasian and Asian faces. Recognition was tested with a forced-choice procedure. Overall performance improved with age. However, there was an interaction between the inversion and non-native effects that did not change with age between ages 3 and 5: (a) the inversion effect with native (Caucasian) faces was larger than with non-native (Asian) faces, and (b) upright native faces were recognized better than upright non-native faces. These results show that face orientation and morphology constrain face processing in 3- to 5-year-olds. The first 3 years of life during which the brain and the environment interact are sufficient to build a face-processing system that constrains recognition.

Evidence of the Face Inversion Effect in 4-Month-Old Infants.

This study tested the presence of the face inversion effect in 4-month-old infants using habituation to criterion followed by a novelty preference paradigm. Results of Experiment 1 confirmed previous findings, showing that when 1 single photograph of a face is presented in the habituation phase and when infants are required to recognize the same photograph, no differences in recognition performance with upright and inverted faces are found. However, Experiment 2 showed that, when infants are habituated to a face shown in a variety of poses and are required to recognize a new pose of the same face, infants' recognition performances were higher for upright than for inverted faces. Overall, results indicate that, under some experimental conditions, 4-month-olds process faces differently according to whether faces are presented upright or inverted.

Developmental changes in the processing of hierarchical shapes continue into adolescence.

The present study was designed to trace the normal development of local and global processing of hierarchical visual forms. We presented pairs of hierarchical shapes to children and adults and asked them to indicate whether the two shapes were the same or different at either the global or the local level. In Experiments 1 (6-year-olds, 10-year-olds, adults) and 2 (10-year-olds, 14-year-olds, adults), we presented stimuli centrally. All age groups responded faster on global trials than local trials (global precedence effect), but the bias was stronger in children and diminished to the adult level between 10 and 14 years of age. In Experiment 3 (10-year-olds, 14-year-olds, adults), we presented stimuli in the left or right visual field so that they were transmitted first to the contralateral hemisphere. All age groups responded faster on local trials when stimuli were presented in the right visual field (left hemisphere); reaction times on global trials were independent of visual field. The results of Experiment 3 suggest that by 10 years of age the hemispheres have adult-like specialization for the processing of hierarchical shapes, at least when attention is directed to the global versus local level. Nevertheless, their greater bias in Experiments 1 and 2 suggests that 10-year-olds are less able than adults to modulate attention to the output from local versus global channels-perhaps because they are less able to ignore distractors and perhaps because the cerebral hemispheres are less able to engage in parallel processing.

Picture naming in young children: a developmental study on interhemispheric collaboration.

The aim of the present study was to determine how interhemispheric collaboration and visual attention in basic lexical tasks develop during early childhood. Two- to 6-year-old children were asked to name two different pictures presented simultaneously either one in each visual hemifield (bilateral condition) or both in a single hemifield (either right or left, unilateral condition). In the bilateral condition, children were overall more accurate in naming right visual field than left visual field pictures. This difference was significant for 2- and 3- to 4-year-old children, but not for 5- to 6-year-old children. These results show that the right and left cerebral hemispheres do not develop naming competencies equally well in early childhood. A second analysis, based on the order of report, showed that when 2- and 3- to 4-year-old children named both the left and the right visual field pictures, they named the right visual field picture first. In contrast, at the age of 5-6 years, children named the left visual field picture first and overall naming performance reached a ceiling level. Several interpretations are proposed to explain this shift of visual attention at the age of 5-6 years. In the unilateral condition, no difference was found between naming accuracy in the right and left visual fields, presumably because interhemispheric pathways are functional: visual stimuli presented to the right hemisphere can be processed by the most competent left hemisphere without degradation of information. This result confirms previous findings on the development of interhemispheric collaboration.

Neural correlates of woman face processing by 2-month-old infants.

The age of 2 months marks a turn in the development of face processing in humans with the emergence of recognition based on internal feature configuration. We studied the neural bases of this early cognitive expertise, critical for adaptive behavior in the social world, by mapping with positron emission tomography the brain activity of 2-month-old alert infants while looking at unknown woman faces. We observed the activation of a distributed network of cortical areas that largely overlapped the adult face-processing network, including the so-called fusiform face area. We also evidenced the activation of left superior temporal and inferior frontal gyri, regions associated, in adults, with language processing. These findings demonstrates that cognitive development proceeds early in functionally active interconnected cortical areas despite the fact they have not all yet reached full metabolic maturation.