We studied whether default functionality of the human brain, as revealed by task-independent decreases in activity occurring during goal-directed behaviors, is functionally reorganized by blindness. Three groups of otherwise normal adults were studied: early blind, adventitiously blind, and normally sighted. They were imaged by using functional MRI during performance of a word association task (verb generation to nouns) administered by using auditory stimuli in all groups and Braille reading in blind participants. In sighted people, this task normally produces robust taskindependent decreases relative to a baseline of quiet wakefulness with eyes closed. Our functional MRI results indicate that taskindependent decreases are qualitatively similar across all participant groups in medial and dorsal prefrontal, lateral parietal, anterior precuneus, and posterior cingulate cortices. Similarities in task-independent decreases are consistent with the hypothesis that functional reorganization resulting from the absence of a particular sensory modality does not qualitatively affect default functionality as revealed by task-independent decreases. More generally, these results support the notion that the brain largely operates intrinsically, with sensory information modulating rather than determining system operations.M uch previous functional brain imaging work in normally sighted (NS) adult humans has documented activity decreases during performance of various goal-directed behaviors relative to a control state, such as quiet wakefulness with eyes closed, visual fixation, or a minimally demanding task (1-3). These activity decreases have a variable relationship to taskspecific activity increases. Some decreases appear to represent activity attenuation in sensory systems irrelevant to the task; these task-dependent decreases can occur in sensory cortex both within and separate from the modality engaged by the task (4-7).Other activity decreases appear to be independent of the performed task. With remarkable regularity, these taskindependent decreases occur in medial and lateral parietal cortices, posterior cingulate cortex, dorsal and ventral medial prefrontal cortex, and the amygdalae (reviewed in ref. 8). We propose that task-independent decreases represent suppression of default brain functionality (9) and have cited detailed circulatory and metabolic evidence showing that such decreases do not correspond to ''activations'' in the resting state, as has been suggested (3). Rather, task-independent decreases occur in areas that are functionally active but not physiologically ''activated.'' Default brain activity suggests spontaneous functions that are attenuated only when we reallocate resources to temporarily engage in goal-directed behaviors. Hence our designation of ''default'' functions (8, 9).Numerous studies show that blindness leads to cortical reorganization manifesting as increased visual cortex activity during performance of tasks involving tactile and auditory stimuli (reviewed in refs. 10 and 11). Of interest ...