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Neurocase
Behavior, Cognition and Neuroscience
Volume 20, 2014 - Issue 3
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Original Articles

Occipital cortex activation by long-term repetitive tactile stimulation is necessary for object recognition in blinds: A case report

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Pages 273-282 | Received 17 Nov 2011, Accepted 18 Jan 2013, Published online: 02 Jul 2013
 

Abstract

Tactile vision has been approached from a variety of angles using different techniques. So far, a certain kind of object (and text) recognition has been shown, though seeing as such has not been achieved yet, and it remains unclear. Trough repetitive passive tactile stimulation perceptual processing is transferred from temporo-parietal to occipital areas, which affects object recognition. We report the results of passive tactile stimulation, as well as rTMS, applied to a 50 year old left handed blind male with over 97% loss of vision, who suffers from Peter’s anomaly and microphthalmia. After 15 weeks of passive tactile stimulation, the subject showed increased activity in occipital areas associated with the development of visual-like perception which remained unchanged after three months without passive tactile stimulation. Inhibitory rTMS over the visual cortex led to noticeable reduction of spatial recognition performance and visual sensations in this subject. Stable changes in occipital cortical activity can be associated with subjective sensations of seeing. Once occipital activation has been achieved, it is necessary for spatial object recognition. Both facts highlight the implication of occipital areas in tactile vision and the cortical plasticity of passive tactile long-term stimulation in people with blindness.

The authors would like to thank Professor Daniel G. Herrera, from Harvard University (USA). This research has been funded by the Esther Koplowitz Foundation (Spain) and the Madrid Regional Government (Spain). Competing interests: None. Neither of the two funding bodies has had any part in the design and/or conduction of the experiment, data analysis nor in the preparation of the manuscript. Ethics approval: The study was approved by the ethical review board of the Hospital Clínico Universitario San Carlos, Madrid (Spain).

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