Neuroplasticity Associated With Cerebral Visual Impairment (CVI)
In developed countries including the United States, cerebral visual impairment (also called cortical visual impairment or CVI) is the leading cause of permanent visual impairment in children, and is characterized by visual dysfunction primarily associated with damage to central brain structures as opposed to the eyes. Despite this significant public health concern, the neurophysiology of this condition remains poorly understood, and more research is needed to fully understand how the developing brain reorganizes itself in response to early damage. The goal of this investigation is to establish a conceptual framework relating sensory function with structural and functional brain reorganization in CVI. In this effort, we use high resolution structural reconstruction and characterization of the white matter pathways of the brain using diffusion based imaging (specifically, High Angular Resolution Imaging, or HARDI). We employ behavioral assessments integrating virtual reality (VR), psychometric sequences, and eye/gesture tracking technology. These novel techniques allow us to characterize visual dysfunctions beyond what is done in the standard clinical settings using scenarios that more closely approximate real world situations.
Neuroplasticity and Compensatory Behaviors Associated with Ocular Blindness
It is generally believed that individuals who are blind develop compensatory behavioral strategies through the use of their remaining senses. Studies have shown that some blind individuals possess superior sensory abilities compared to their sighted peers (e.g. localizing sounds, discriminating tactile patterns, identifying smells, and verbal memory recall). Scientific evidence suggests that the development of these adaptive behaviors is intimately related to dramatic structural and functional changes occurring within the brain; termed “neuroplasticity”. Given that the brain is highly specialized and that different regions of the brain are responsible for the processing of different sensory modalities, this begs the question: what is the fate of regions of the brain normally associated with the processing of visual information in an individual who is blind? To help answer this question, we conduct behavioral sensory testing employing a variety of specially designed stimulus presentation devices combined with advanced structural and functional brain imaging (magnetic resonance imaging, or MRI). This allows us to uncover the contribution of different regions of the brain to non-visual forms of sensory processing and how the brain “re-wires” itself in response to blindness.