Early sensory deprivation drives local reorganization of sensory integration within a conserved global hierarchy

The human brain processes sensory information through a hierarchical system, from primary to higher-level regions, integrating inputs across modalities to support perception and cognition. While early sensory loss triggers widespread neuroplastic changes, its impact on integration across the cortical hierarchy remains unclear. Here, we examined the cortical reorganization of individuals with early blindness and deafness using a sensory integration framework that quantifies how brain regions prioritize different sensory inputs across the hierarchy. We found that early sensory deprivation drives highly localized reorganization adjacent to the deprived primary cortical areas: extrastriate cortex in early blindness and the superior temporal cortex in early deafness. These findings were further corroborated by analysis of the functional gradients, which found reorganization within these sensory regions. Notably, the hierarchy was largely preserved across groups. However, the sensory integration framework uniquely detected reorganization in language-related regions in deaf individuals with knowledge of a visual communication system known as cued speech. The specific differences between early deaf and hearing individuals remained restricted to superior temporal cortex. Together, our findings demonstrate that early sensory deprivation drives targeted reorganization adjacent to the affected primary sensory cortex, while preserving the overall hierarchy of cortical integration.