title: Comparison of interaural time and intensity difference discrimination in patients with temporal lobe lesions.
abstract: We studied the sound lateralization in 15 patients with left (12 patients) or bilateral (3 patients) temporal lobe cerebrovascular lesions. The lesions included the auditory cortex. Interaural time difference (ITD) and interaural intensity difference (IID) discriminations were separately measured by using a self-recording apparatus. All 12 patients with left temporal lobe lesions could discriminate ITD, and their IID thresholds were significantly higher than those in healthy volunteers. None of the 3 patients with bilateral temporal lobe lesions could discriminate ITD. On the other hand, all patients with either unilateral or bilateral temporal lobe lesions could discriminate IID and their IID thresholds were significantly higher than those in healthy volunteers. The present findings indicate that the auditory cortex plays an important role in discriminating both cues, but that the role may not be essential for IID.
authors.affiliation: Department of Otolaryngology, Teikyo University School of Medicine, Tokyo, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yamada
authors.forename: K
authors.initials: K
authors.lastname: Kaga
authors.forename: A
authors.initials: A
authors.lastname: Uno
authors.forename: M
authors.initials: M
authors.lastname: Shindo
mesh_terms: D001303:Auditory Cortex / Q000502:physiology*; D016022:Case-Control Studies; D002561:Cerebrovascular Disorders / Q000503:physiopathology*; D004007:Dichotic Listening Tests; D006801:Humans; D013017:Sound Localization / Q000502:physiology*; D013998:Time Perception / Q000502:physiology