Cortical deafness of following bilateral temporal lobe stroke
Cortical deafness is an extremely rare clinical manifestation that originates mainly from bilateral cortical lesions in the primary auditory cortex. Its main clinical manifestation is the bilateral sudden loss of hearing. Diagnosis is difficulty due to its rarity and similarity with other language and communication disorders, such as Wernicke's aphasia, auditory agnosia or verbal deafness. Herein, we present a case report of a young woman with a sudden bilateral loss of auditory comprehension. Initially, a psychiatric nature of the disorder was considered, but the persistence of the symptoms, lead to the diagnosis of cortical deafness secondary to bilateral ischemic lesions in both temporal lobes.
Conditions: Aphasia; Stroke; Stroke, Ischemic; Aphasia, Broca; Aphasia, Global; Aphasia, Mixed; Aphasia, Jargon; Aphasia, Expressive; Aphasia, Conduction; Aphasia, Fluent; Aphasia, Anomic Interventions: Behavioral: Semantically focused treatment; Behavioral: Phonologically focused treatment Sponsors: University of South Carolina; National Institute on Deafness and Other Communication Disorders (NIDCD) Recruiting
Conclusions:Patients with MELAS syndrome may present with recurrent strokes in the arterial territory rather than SLEs. Clinicians should entertain the possibility of a mitochondrial disease in young patients with cryptogenic stroke and pursue appropriate diagnostic evaluations and treatment.Disclosure: Dr. Liaw has nothing to disclose. Dr. Lewis has nothing to disclose. Dr. Saini has nothing to disclose. Dr. Gultekin has nothing to disclose. Dr. Koch has nothing to disclose. Dr. Asdaghi has nothing to disclose.