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Auditory agnosia with anosognosia
Maja Klarendić1, Veronika R Gorišek1, Gal Granda1
1Department of Neurology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Summary
This case study details a patient with cardioembolic strokes who developed auditory agnosia and anosognosia. Recovery varied, with verbal auditory agnosia resolving first, while amusia persisted longest.
Area of Science:
- Neuroscience
- Clinical Neurology
- Audiology
Background:
- Auditory agnosia, the inability to recognize sounds, can manifest in various forms, impacting auditory processing.
- Anosognosia, a lack of awareness of one's own deficits, can co-occur with neurological conditions, complicating assessment and recovery.
Observation:
- A 66-year-old physician experienced bilateral strokes, leading to verbal auditory agnosia, environmental sound agnosia, and amusia.
- The patient exhibited anosognosia, unaware of her profound difficulties in understanding spoken language and environmental sounds.
- Despite deficits in auditory comprehension, she could read, write, and name objects, distinguishing her condition from Wernicke's aphasia.
Findings:
- The patient's recovery followed a specific pattern: verbal auditory agnosia resolved first, followed by environmental sound agnosia, with amusia being the most persistent deficit.
- Detailed audiological and neuropsychological evaluations provided insights into the specific deficits and their anatomical correlates.
- The case highlights the distinct clinical presentation and recovery trajectory of auditory agnosia with anosognosia.
Implications:
- This case study enhances the understanding of auditory agnosia and anosognosia in clinical neurology.
- Differentiating auditory agnosia from Wernicke's aphasia is crucial, as written communication can remain intact.
- The findings underscore the importance of comprehensive audiological and neuropsychological assessments for accurate diagnosis and management.
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