Tokida Haruki, Kanaya Yuhei, Shimoe Yutaka, Imagawa Madoka, Fukunaga Shinya, Kuriyama Masaru
Department of Rehabilitation, Brain Attack Center Ota Memorial Hospital.
Department of Neurology, Brain Attack Center Ota Memorial Hospital.
Rinsho Shinkeigaku. 2017 Aug 31;57(8):441-445. doi: 10.5692/clinicalneurol.cn-001046. Epub 2017 Jul 22.
A 45-year-old right-handed man with a past history (10 years) of putaminal hemorrage presented with auditory agnosia associated with left putaminal hemorrhage. It was suspected that the auditory agnosia was due to bilateral damage in the acoustic radiations. Generalized auditory agnosia, verbal and non-verbal (music and environmental), was diagnosed by neuropsychological examinations. It improved 4 months after the onset. However, the clinical assessment of attention remained poor. The cognition for speech sounds improved slowly, but once it started to improve, the progress of improvement was rapid. Subsequently, the cognition for music sounds also improved, while the recovery of the cognition for environmental sounds remained delayed. There was a dissociation in recovery between these cognitions. He was able to return to work a year after the onset. We also reviewed the literature for cases with auditory agnosia and discuss their course of recovery in this report.
一名45岁右利手男性，有壳核出血病史（10年），此次因左侧壳核出血出现听觉失认。怀疑听觉失认是由于听辐射的双侧损伤所致。通过神经心理学检查诊断为广泛性听觉失认，包括言语性和非言语性（音乐和环境音）。发病4个月后有所改善。然而，注意力的临床评估仍较差。对语音的认知改善缓慢，但一旦开始改善，改善进程迅速。随后，对音乐声音的认知也有所改善，而对环境声音的认知恢复仍延迟。这些认知的恢复存在分离现象。发病一年后他能够重返工作岗位。我们还回顾了有关听觉失认病例的文献，并在本报告中讨论了它们的恢复过程。
