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The Japanese journal of neuropsychology
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Full Text of this Article
in Japanese PDF (601K)
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ArticleTitle
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A case of progressive word deafness and foreign accent syndrome |
Language |
J |
AuthorList |
Shoko Ota1)2), Minoru Matsuda2), Toru Baba2), Keiko Endo1)2), Osamu Iizuka2) and Etsuro Mori2) |
Affiliation |
1)Department of Rehabilitation, Tohoku University Hospital
2)Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine |
Publication |
Japanese Journal of Neuropsychology: 32 (4), 361-369, 2016 |
Received |
Sep 24, 2015 |
Accepted |
Mar 24, 2016 |
Abstract |
We report a patient with progressive word deafness and foreign accent syndrome. The patient is 70-years-old right-handed female. Although pure tone audiometry is normal, speech audiometry is impaired. Her speech occasionally shows sound errors and omission or misuse of postpositional particles, and is perceived by listeners as foreign. There are not any other cognitive deterioration and aphasia including comprehension of sentences with complex syntax. The most prominent feature of her speech is abnormality of prosody, although abnormality of accent and segmentation of sounds are also apparent. MRI of the brain revealed atrophy of the right superior temporal gyrus and Heschl's gyrus. IMP-SPECT showed bilateral frontotemporoparietal hypoperfusion, particuraly in the right hemisphere. The responsible lesions may be bilateral peri-Sylvius region with an emphasis on the right hemisphere. There would be cases with progressive word deafness and speech disorders as a subtype of progressive aphasia. |
Keywords |
word deafness, foreign accent syndrome, primary progressive aphasia |
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