In response to early or developmental lesions, responsiveness of sensory cortex can be converted from the deprived modality to that of the remaining sensory systems. However, little is known about capacity of the adult cortex for cross-modal reorganization. The present study examined the auditory cortices of animals deafened as adults, and observed an extensive somatosensory conversion within as little as 16 days after deafening. These results demonstrate that cortical cross-modal reorganization can occur after the period of sensory system maturation.aging Í cross-modal reorganization Í hearing loss Í plasticity Í reorganization T he study of neural plasticity has revealed the considerable vulnerability of the developing brain to altered sensory experience (1). This vulnerability is particularly evident when the loss of peripheral sensory input results in the cross-modal reorganization of cortex. In their classic study, Rauschecker and Korte (2) showed that the ectosylvian visual area responded vigorously to auditory and/or somatosensory stimuli in cats visually deprived from birth. Similar developmental studies have been performed in a variety of species and their common finding was that cortical areas normally devoted to processing one sensory modality were converted to the other sensory systems following early visual deprivation (3-8) or early deafening (9-13, but see 14).In contrast to these established developmental effects, little is known about the potential for cross-modal reorganization from lesions occurring after the sensory systems have matured. The few animal studies of adult cross-modal reorganization have described far less robust effects and collectively appear inconclusive. Blinding of adult rabbits resulted in somatosensory innervation of primary visual cortex near its border with somatosensory cortex (15). However, in deafened auditory cortex (16), visual responses were observed in the primary auditory area of cats deafened at 1 week of age, but not when cats were deafened at a later stage. In humans, regions of multi-sensory cortex become more visually active after late-onset deafness (17), which is not surprising given the presence of visual inputs before the hearing loss.Despite these limited and equivocal results regarding lateonset cross-modal reorganization, there is considerable evidence that the adult cortex is capable of reacting to loss of peripheral input (18,19). Investigations of adult subjects that received peripheral insults such as digit amputation (20), focal retinal lesions (21, 22), and frequency-specific cochlear lesions (23) revealed that the initially silenced cortical locus eventually developed responses similar to those of unaffected neighboring neurons (18,24). Although these effects occurred within the same modality, the fact that intra-modal reorganization had occurred is consistent with the likelihood that the sensory cortices of adults are indeed mutable.Hearing impairment is one of the most prevalent neurological disorders in humans, affecting 16% of adults in the...