Long-Term Follow-Up of Auditory Agnosia as a Sequel of Herpes Encephalitis in a Child
Long-Term Follow-Up of Auditory Agnosia as a Sequel of Herpes Encephalitis in a Child
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儿童疱疹脑炎后遗症的听觉失认症的长期随访
DOI：
10.1177/088307380001500911
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发表时间：
2000
影响因子：
1.9
通讯作者：
K. Kaga
中科院分区：
文献类型：
--
作者：
Makkiko Kaga;M. Shindo;K. Kaga
我们报告一个儿童患者的听力失认作为疱疹脑炎的后遗症。他的早期发育完全正常。他在12个月大的时候会说三个词。发病年龄为1岁零2个月。他似乎没有后遗症就出院了；然而，即使在他2岁的时候，他也无法恢复他能听懂的话。他被诊断为双侧颞叶损伤导致的听觉失认。我们立刻开始对他进行单独的、高强度的训练。单纯听力失认症合并两次颞叶梗塞的成人患者中枢性听力受损，但内部语言障碍不明显。因此，他们可以通过阅读和写作进行交流。此外，听力障碍并不总是严重的，而且往往是短暂的。然而，尽管接受了长期(超过15年)的精力充沛的教育和几乎正常的智能能力(韦氏儿童智力量表修订后的表现智商为91)，我们的患者的语言能力却非常差。脑部可塑性不能完全发挥作用的患者，其双侧颞叶严重损伤在儿童早期。在这类患者中建立一种系统的训练方法是这一领域的迫切目标。(J Child Neurol 2000；15：626-629)。
We report a pediatric patient with auditory agnosia as a sequel of herpes encephalitis. His early development was completely normal. He uttered three words at 12 months old. Disease onset was 1 year and 2 months of age. He was discharged from the hospital seemingly with no sequel; however, he could not recover his intelligible words even at age 2 years. He was diagnosed as having auditory agnosia caused by bilateral temporal lobe injury. We began to train him at once, individually and intensively. Adult patients with pure auditory agnosia followed by two episodes of temporal lobe infarction have impairment in central hearing but not inner language. Therefore, they can communicate by reading and writing. Moreover, impairment in hearing is not always severe and is often transient. However, despite long-term (more than 15 years) energetic education and almost normal intellectual ability (Performance IQ of Wechsler Intelligence Scale for Children-Revised was 91), our patient's language ability was extremely poor. Cerebral plasticity could not work fully on our patient, whose bilateral temporal lobe was severely injured in early childhood. The establishment of a systematic training method in such patients is an urgent objective in this field. (J Child Neurol 2000;15:626-629).