Auditory Agnosia Associated with Moyamoya Disease: Diagnosis of AuditoryAgnosia and the Progress of Rehabilitation (Report of a Case)

Abstract

A woman in her 30s had experienced three episodes of an intracerebral hematoma caused by moyamoya disease. Both superior temporal gyri and the right basal ganglia were injured, and she suffered from left hemipa resis, higher brain dysfunction, and auditory agnosia. For the diagnosis of auditory agnosia, it is important (1) to identify the injured brain site by diagnostic imaging, (2) to conduct a functional hearing test such as the auditory brainstem response test, and (3) to reach a neurodiagnosis that differentiates aphasia and attention disorders.Our patient underwent a combination of speech therapy, free talk, and the practice of required tasks. Her hear ing and speech improved remarkably by watching the presentation of mouth shapes. With both physical therapy and occupational therapy, our patient recovered remarkably and enjoyed her life in her own home.