Primary and higher-order thalamic nuclei make distinct contributions to cortical reorganization in congenital sensory loss

Congenital sensory loss reveals how experience shapes the brain organization, yet most accounts of such plasticity have focused on cortex rather than the thalamic systems that link sensory input, cortical development, and distributed networks. Here, we tested whether primary and higher-order thalamic nuclei show distinct relationships with thalamocortical organization after early sensory loss. In congenital blindness, structural differences were focal to the lateral geniculate nucleus (LGN), the primary thalamic nucleus of the visual system, with individual differences in LGN volume associated with areal features of primary visual cortex morphology. Functional differences, by contrast, involved altered relationships between visual cortex and higher-order cortical and thalamic systems, including stronger functional similarity between visual cortex and control-related networks at rest and during active nonvisual cognition. A parallel analysis of congenital deafness showed no detectable volumetric difference in the medial geniculate nucleus, the primary thalamic nucleus of the auditory system, but revealed altered functional relationships between auditory cortex and higher-order cortical and thalamic systems. These findings suggest that primary thalamic pathways are associated with modality-specific structural consequences of early sensory loss, whereas higher-order thalamocortical systems contribute to convergent functional reorganization of affected sensory cortices across sensory modalities.