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ABSTRACT: Rationale
Cortical deafness is a rare auditory dysfunction caused by damage to brain auditory networks. The aim was to report alterations of functional connectivity in intrinsic auditory, motor, and sensory networks in a cortical deafness patient.Patient concerns
A 41-year-old woman suffered a right putaminal hemorrhage. Eight years earlier, she had suffered a left putaminal hemorrhage and had minimal sequelae. She had quadriparesis, imbalance, hypoesthesia, and complete hearing loss.Diagnoses
She was diagnosed with cortical deafness. After 6 months, resting-state functional magnetic resonance imaging (rs-fMRI) and diffuse tensor imaging (DTI) were performed. DTI revealed that the acoustic radiation was disrupted while the corticospinal tract and somatosensory track were intact using deterministic tracking methods. Furthermore, the patient showed decreased functional connectivity between auditory and sensorimotor networks.Interventions
The patient underwent in-patient stroke rehabilitation therapy for 2 months.Outcomes
Gait function and ability for activities of daily living were improved. However, complete hearing impairment persisted in 6 months after bilateral putaminal hemorrhagic stroke.Lessons
Our case report seems to suggest that functional alterations of spontaneous neuronal activity in auditory and sensorimotor networks are related to motor and sensory impairments in a patient with cortical deafness.
SUBMITTER: Gwak DW
PROVIDER: S-EPMC7837815 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Gwak Dae-Won DW Park Eunhee E Park Jin-Su JS Kim Eunji E Kang Min-Gu MG Kim Ae-Ryoung AR Lee Jae-Eun JE Jung Seung-Hwan SH Jeong Jae-Gyeong JG Lee Kyu-Yup KY Chang Yongmin Y Jung Tae-Du TD
Medicine 20210101 3
<h4>Rationale</h4>Cortical deafness is a rare auditory dysfunction caused by damage to brain auditory networks. The aim was to report alterations of functional connectivity in intrinsic auditory, motor, and sensory networks in a cortical deafness patient.<h4>Patient concerns</h4>A 41-year-old woman suffered a right putaminal hemorrhage. Eight years earlier, she had suffered a left putaminal hemorrhage and had minimal sequelae. She had quadriparesis, imbalance, hypoesthesia, and complete hearing ...[more]