Lip-reading Rehabilitation Administered to a Patient with Cortical Deafness due to Bilateral Putaminal Hemorrhages.

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  • 大脳性難聴に対する読話訓練の試み

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Abstract

    The authors discuss a case of lip-reading rehabilitation for central auditory disorder following bilateral putaminal hemorrhages. The patient was a right-handed 54-year-old male. The initial attack took place on December 23, 1977 due to left putaminal hemorrhage. The patient developed right hemiplegia and aphasia. After one month, he had improved and returned to his former job. A second attack, on May 1, 1991, was caused by right putaminal hemorrhage, and was treated by surgical removal of a hematoma. After surgery, the patient showed left hemiplegia and hearing loss. However, he communicated by writing, and did so well that he initially paid no attention to his hearing loss. Nevertheless, later he considered it a serious handicap, at which time he was referred to our hospital to develop better means of communication.<br>    Lip-reading rehabilitation was started in Octorber 1991. Cued-speech was used to improve lipreading. After training, the patient's Picture Vocabulary Test and Token Test scores both improved. However, correct answers decreased with an increasing number of syllables and performance was affected by the order of syllables, words and sentences. Even after more than one year of training, combined use of lip-reading and cued-speech proved impractical for the patient. Moreover, his hearing did not improve at all. He continued to communicate by writing as before.

Journal

  • Higher Brain Function Research

    Higher Brain Function Research 14 (3), 180-186, 1994

    Japanese Society of Aphasiology (Renamed as Japan Society for Higher Brain Dysfunction)

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