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Updated: Jun 25, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Auditory processing disorder and brain pathology in a preterm child with learning disabilities
Vassiliki Iliadou1, Doris-Eva Bamiou, Stergios Kaprinis
1Clinical Psychoacoustics Laboratory, Neuroscience Division, 3rd Psychiatric Department, AHEPA Hospital, Aristotle University of Thessaloniki, Greece. viliad@auth.gr
Insights
Preterm birth complications can cause structural brain abnormalities, leading to auditory processing disorders in children. This case report links porencephalic cysts and corpus callosum thinning to severe auditory deficits.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Audiology
Background:
- Auditory processing disorders (APD) are deficits in auditory information processing not linked to higher cognitive functions.
- Investigating the link between structural brain abnormalities and APD in preterm infants is crucial for early diagnosis and intervention.
Observation:
- A case report details a preterm girl with language and learning difficulties, alongside significant listening problems.
- Clinical assessment revealed severe deficits in nonspeech temporal tests, indicating a central auditory processing disorder.
Findings:
- Brain magnetic resonance imaging (MRI) showed large porencephalic cysts and significant thinning of the corpus callosum.
- These structural abnormalities correlate with the observed auditory processing deficits, particularly in temporal processing and interhemispheric information transfer.
Implications:
- This case highlights the potential for structural brain abnormalities in preterm infants to manifest as auditory processing disorders.
- Early identification of APD in preterm children with learning difficulties is vital for appropriate management and support.
Background:
Auditory processing disorders involve deficits in the processing of information in the auditory domain that are not due to higher order language, cognitive or other related factors.
Purpose:
To evaluate the possibility of structural brain abnormalities in preterm children manifesting as auditory processing disorders.
Research Design:
A case report of a young girl, preterm at birth, with language difficulties, learning problems at school, and additional listening problems.
Results:
A diagnosis of a central auditory processing disorder was made on the basis of severe deficits in three nonspeech temporal tests (the frequency and duration pattern and the random gap detection tests). Her brain MRI revealed large porencephalic cysts and thinning of the corpus callosum.
Conclusions:
The observed auditory deficits would be compatible with a pressure effect of the cysts at a brainstem or higher level for the random gap detection test, and with the thinning of the corpus callosum for the pattern tests, the latter requiring interhemispheric transfer of information. The case highlights that preterm children with learning difficulties may suffer from an auditory processing disorder, in the presence of structural brain abnormalities that are due to birth and neonatal complications.
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