Journal

The Japanese journal of neuropsychology

[Vol.32 No.4 contents]
Japanese/English

Full Text of this Article
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ArticleTitle 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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