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뇌졸중 환자의 중추청각처리능력 사례연구
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  • 뇌졸중 환자의 중추청각처리능력 사례연구
  • Case Study of Central Auditory Processing in Patients with Stroke
저자명
장현숙,정은조,김유경,김은주
간행물명
Audiology and Speech ResearchKCI,SCOPUS
권/호정보
2012년|8권 2호(통권14호)|pp.238-248 (11 pages)
발행정보
한국청각언어재활학회|한국
파일정보
정기간행물|KOR|
PDF텍스트(0.78MB)
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영문초록

This study aimed to investigate central auditory processing dysfunction in patients with stroke. Three patients who had suffered strokes with confirmed auditory pathway involvement, participated. All subjects had normal hearing bilaterally, and were right-handed. All subjects completed K-MMSE (Korean version of Mini-Mental State Exam) and K-WAB (Korean version-the Western Aphasia Battery), and performed Korean Central Auditory Processing Assessment (CAPA-K) battery, including Frequency Pattern test, Dichotic Digit test, Filtered Word test, Compressed Speech test, Speech in Noise test, and Binaural Fusion test. The scores for the each test were evaluated by comparing the normative data in young adult population for the standardization of CAPA-K battery. The results of the study revealed that all three subjects had difficulties in central auditory processing. S1 (male, 17 years, Rt. middle cerebral artery infarction including Rt. insula and basal ganglia) showed poor performance in contralateral ear to the lesion in all speech recognition tests. Contralateral ear suppression was also seen in dichotic testing. Furthermore, frequency pattern recognition was poorer in the linguistic labeling condition than in the humming condition in both ears. S2 (female, 46 years, both pontine infarction including lateral lemniscus and superior olivary complex) demonstrated difficulties through the entire tests whereas S3 (male, 51 years, Lt. pontine infarction including lateral lemniscus) showed normal performance in speech recognition test and monaural-low redundancy speech tests in both ears. Regardless of side of lesion, temporal processing difficulties in both ears were found in patients associated with pontine infarction. In these cases, auditory dysfunction resulting from stroke varied with the location and extent of auditory pathway infarction. Therefore, more cases are needed to identify the central auditory dysfunction in patients with stroke.

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSIONS AND CONCLUSIONS

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