Auditory Agnosia Associated with Moyamoya Disease: Diagnosis of AuditoryAgnosia and the Progress of Rehabilitation (Report of a Case)

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  • Mayuki Hori
    Division of Rehabilitation, Sonodakai Rehabilitation Hospital
  • Fujii Tomomi
    Division of Rehabilitation, Sonodakai Rehabilitation Hospital
  • Uchida Saki
    Division of Rehabilitation, Sonodakai Rehabilitation Hospital
  • Harada Tadashi
    Neuromodulation Center, Sonodakai Rehabilitation Hospital Division of Rehabilitation, Sonodakai Rehabilitation Hospital
  • Yamamoto Takamitsu
    Neuromodulation Center, Sonodakai Rehabilitation Hospital Division of Rehabilitation, Sonodakai Rehabilitation Hospital

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Other Title
  • 聴覚失認を呈したもやもや病の一例：聴覚失認の診断とリハビリテーションの経過
  • チョウカクシツニン オ テイシタ モヤモヤビョウ ノ イチレイ : チョウカクシツニン ノ シンダン ト リハビリテーション ノ ケイカ

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Abstract

<p>A woman in her 30s had experienced three episodes of an intracerebral hematoma caused by moyamoyadisease. Both superior temporal gyri and the right basal ganglia were injured, and she suffered from left hemiparesis, higher brain dysfunction, and auditory agnosia. For the diagnosis of auditory agnosia, it is important (1) toidentify the injured brain site by diagnostic imaging, (2) to conduct a functional hearing test such as the auditorybrainstem response test, and (3) to reach a neurodiagnosis that differentiates aphasia and attention disorders.Our patient underwent a combination of speech therapy, free talk, and the practice of required tasks. Her hearing and speech improved remarkably by watching the presentation of mouth shapes. With both physical therapyand occupational therapy, our patient recovered remarkably and enjoyed her life in her own home.</p>

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