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[三例皮质和皮质下听觉损伤病例史。听力学和体层X线密度测量对照(作者译)]

[Three case histories of cortical and sub-cortical auditory lesions. Audiological and tomodensimetrical confrontations (author's transl)].

作者信息

Haguenauer J P, Schott B, Michel F, Dubreuil C, Romanet P

出版信息

Ann Otolaryngol Chir Cervicofac. 1979 Mar;96(3):185-96.

PMID:475237
Abstract

The authors describe three case histories of auditory lesions involving the cortex or subcortex of the temporal lobes. In two of the cases there are minor lesions of the hemisphere producing an amusia without verbal deafness or agnosia of non-verbal sounds. In one of the two patients, the total transitory deafness makes the use of the term cortical deafness debatable. In the third case, a bilateral vascular lesion of the temporal lobes had produced a pure verbal deafness without loss of tone discrimination or loss of the capacity to recognise changes in rhythm or sound frequency. In these three patients in whom there was no anatomical verification, the data given by the scanner and the study of evoked cortical potentials recorded over the two cerebral hemispheres allowed a fairly good study of the correlations between the topography of the lesions and their semiotic consequences.

摘要

作者描述了三例涉及颞叶皮质或皮质下的听觉损伤病例史。其中两例患者大脑半球有轻微损伤,导致失乐感,无言语性耳聋或非言语声音失认症。在这两名患者中的一名中,完全短暂性耳聋使得使用“皮质性耳聋”这一术语存在争议。在第三例中,颞叶双侧血管病变导致了纯言语性耳聋,而音调辨别能力未丧失,也没有识别节奏或声音频率变化的能力丧失。在这三名未进行解剖学验证的患者中,扫描仪提供的数据以及对两个大脑半球记录的诱发性皮质电位的研究,使得能够对病变部位与其体征后果之间的相关性进行相当充分的研究。

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