Rehabilitation of Auditory Agnosia Following Bilateral Intracerebral Bleeding: A Case Report.

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  • MIZUNO Katsuhiro
    Department of Rehabilitation, Ichikawa Rehabilitation Hospital
  • AKABOSHI Kazuto
    Department of Rehabilitation, Ichikawa Rehabilitation Hospital
  • HOTTA Fujiko
    Department of Rehabilitation, Ichikawa Rehabilitation Hospital
  • UCHIKAWA Ken
    Department of Rehabilitation, Ichikawa Rehabilitation Hospital
  • NAGATA Masaaki
    Department of Rehabilitation, Ichikawa Rehabilitation Hospital
  • CHINO Naoichi
    Department of Rehabilitation Medicine, School of Medicine, Keio University

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Other Title
  • 両側半球の脳出血により聴覚失認を呈した一例に対するリハビリテーションの経験
  • ショウレイ ホウコク リョウガワ ハンキュウ ノ ノウシュッケツ ニ ヨリ チョウカクシツニン オ テイシタ イチレイ ニ タイスル リハビリテーション ノ ケイケン
  • A Case Report

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Abstract

We reported a case of auditory agnosia following bilateral intracerebral bleeding. A 56-year-old man was admitted to our rehabilitation hospital with disorder in cognition of human voices and environmental sounds. He suffered from intracerebral bleeding in right temporal lobe and in left putaminal hemorrage prior to this admission. He had no other cognitive disorders, and bilateral moderate sensorineural hearing loss was revealed by pure-tone audiometry. He could not recognize human voices or other kinds of environmental sounds. However he could communicate by writing, and his spontaneous talking was normal. Auditory brainstem response (ABR) was normal, but middle latency response (MLR) indicated impairments of left auditory radiation and right primary auditory cortex. We introduced lip-reading rehabilitation and educated the patient and his family. After 2 months, he could communicate with his family by listening and lip-reading, but he sometimes needed writing when he communicated with other medical staffs.

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