Central deafness associated with a midbrain lesion.
Central deafness has been linked historically to bihemispheric involvement of the temporal lobe, with more recent findings suggesting that compromise of other cortical and subcortical structures can also result in this disorder. The present investigation extends our understanding of the potential anatomical correlates to central deafness by demonstrating that bilateral involvement of an auditory structure within the midbrain can additionally result in this condition. Our subject was a 21-year-old male with a subarachnoid bleed affecting both inferior colliculi. Significant auditory deficits were noted for the middle and late auditory evoked potentials, while electrophysiologic measures of the periphery indicated normal function. The patient was enrolled in a rehabilitation program for approximately 14 weeks. Although initially unresponsive to sounds, the patient regained most of his auditory abilities during the 10 months he was followed. This case documents the range of auditory deficits that may be associated with damage to the inferior colliculi, and it profiles a hierarchical recovery of auditory function consistent with test findings.
Musiek
Frank E
FE
Department of Communication Sciences, Neuroraudiology Lab, University of Connecticut, Storrs, Connecticut 06269-1085, USA. frank.musiek@uconn.edu
Charette
Lori
L
Morse
Diantha
D
Baran
Jane A
JA
D000328:Adult; D001301:Audiometry, Pure-Tone; D001302:Audiometry, Speech; D020520:Brain Infarction / Q000150:complications / Q000175:diagnosis; D004007:Dichotic Listening Tests; D016057:Evoked Potentials, Auditory, Brain Stem; D006313:Hearing Loss, Central / Q000209:etiology* / Q000534:rehabilitation*; D006801:Humans; D007245:Inferior Colliculi / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008585:Meningitis, Meningococcal / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D017084:Otoacoustic Emissions, Spontaneous; D013067:Speech Perception; D013070:Speech Therapy / Q000379:methods; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology