Blind individuals manifest remarkable abilities in navigating through space despite their lack of vision. They have previously been shown to perform normally or even supra-normally in tasks involving spatial hearing in near space, a region that, however, can be calibrated with sensory-motor feedback. Here we show that blind individuals not only properly map auditory space beyond their peri-personal environment but also demonstrate supra-normal performance when subtle acoustic cues for target location and distance must be used to carry out the task. Moreover, it is generally postulated that such abilities rest in part on cross-modal cortical reorganizations, particularly in the immature brain, where important synaptogenesis is still possible. Nonetheless, we show for the first time that even late-onset blind subjects develop above-normal spatial abilities, suggesting that significant compensation can occur in the adult.
In the absence of visual input, the question arises as to how complex spatial abilities develop and how the brain adapts to the absence of this modality. We explored navigational skills in both early and late blind individuals and structural differences in the hippocampus, a brain region well known to be involved in spatial processing. Thirty-eight participants were divided into three groups: early blind individuals (n = 12; loss of vision before 5 years of age; mean age 33.8 years), late blind individuals (n = 7; loss of vision after 14 years of age; mean age 39.9 years) and 19 sighted, blindfolded matched controls. Subjects undertook route learning and pointing tasks in a maze and a spatial layout task. Anatomical data was collected by MRI. Remarkably, we not only show that blind individuals possess superior navigational skills than controls on the route learning task, but we also show for the first time a significant volume increase of the hippocampus in blind individuals [F(1,36) = 6.314; P < or = 0.01; blind: mean = 4237.00 mm(3), SE = 107.53; sighted: mean = 3905.74 mm(3), SE = 76.27], irrespective of whether their blindness was congenital or acquired. Overall, our results shed new light not only on the construction of spatial concepts and the non-necessity of vision for its proper development, but also on the hippocampal plasticity observed in adult blind individuals who have to navigate in this space.
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