Central auditory deficits associated with compromise of the primary auditory cortex

Jane A. Baran, Richard W. Bothfeld, Frank E. Musiek

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


The subject of this study was a 46-year-old female who had suffered a cerebrovascular accident (CVA). Magnetic resonance imaging revealed damage in the area of the distribution of the middle cerebral artery involving most, if not all, of the primary auditory area of the left hemisphere. No auditory problems were noted prior to the CVA; however, following the CVA, the subject reported a number of auditory difficulties. Pure-tone thresholds were normal post-CVA, and performance on speech recognition testing was good in both ears if ample time was provided between a response and the presentation of the next test item. Duration pattern, intensity discrimination, and middle latency response test results were abnormal for both ears, and right ear deficits were evident on an auditory fusion test and two dichotic speech tests (digits and rhymes). This case is significant in that it demonstrates a good correlation between damage to known key auditory regions and central auditory test results.

Original languageEnglish (US)
Pages (from-to)106-116
Number of pages11
JournalJournal of the American Academy of Audiology
Issue number2
StatePublished - Feb 2004
Externally publishedYes


  • Auditory cortex
  • Auditory processing disorder
  • Cerebrovascular accident
  • Middle latency response

ASJC Scopus subject areas

  • Speech and Hearing


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