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Assessment of electromagnetic characteristics of the Willeford Central Auditory Processing Test Battery.

Electromagnetic characteristics of eight tape recordings of the Willeford Central Auditory Processing Test Battery were assessed. Measurements indicate that when recording levels are referenced to the calibration tone preceding a given subtest of that battery, significant intertape differences, interest differences, and interchannel differences in the recording levels of test items exist. Mean recording levels of items used in the Rapidly Alternating Speech Perception, Low-Pass Filtered Speech, and Competing Sentences subtests typically were within 10 dB of the reference tone. Recording levels for the Binaural Fusion subtest yielded intertape differences of as much as 26.5 dB. Given the large intertape inconsistencies in recording levels, extreme caution should be exercised in the use of these recordings.

Auditory Perceptual Disorders↗

The contribution of perceptual learning to performance on the repetition task.

The hypothesis that the Repetition Task partially reflects the listener's level of perceptual learning was tested in this study. Specifically, it was predicted from data on auditory temporal processing that performance on the Repetition Task would improve with experience. Ten kindergarten children with no known communication problems were given 10 sets of the Repetition Task over a span of 5 days. Analysis of the data revealed a significant difference in performance across interstimulus intervals (ISI) and also over the training period. Performance improved as a function of increments in ISI and number of days of training. The data reflected a significant training effect, thereby supporting the experimental hypothesis. These results suggest the possibility that differences between dysphasic and normal children on the Repetition Task may result from differences in perceptual learning.

Auditory Perceptual Disorders↗

Auditory temporal acuity in normally achieving and learning-disabled college students.

Recent research has suggested that deficits in several metalinguistic/phonological abilities, such as short-term verbal memory and phoneme segmentation, may be etiologic factors in specific reading disability, and it has been speculated that these weaknesses may result from a more fundamental deficit in the processing of temporal, auditory stimuli. This study examined the auditory temporal processing skills of reading-disabled, math-disabled, and normally achieving college students. The math-disabled group was included to control for the possibility that poor temporal processing is a "marker" variable for learning disability rather than being related specifically to reading disability. Subjects were assessed on a battery of psychophysical tasks that included five tests of temporal processing. The reading-disabled group performed significantly more poorly on the temporal tasks but performed as well as the other groups on the simple pitch and loudness discrimination tasks. In spite of the significant difference on the temporal tasks, the majority of reading-disabled subjects performed within the same range as the subjects in the other two groups, and there were also some normally reading subjects who performed poorly on the temporal processing tasks. These findings suggest that poor temporal processing is neither a necessary nor a sufficient cause of reading disability, but that there is a modest association between the two domains.

Achievement↗

Obsession of hearing music: from the viewpoint of Morita theory.

We present two typical cases among five Japanese students who have complained of hearing music. They were found among 638 student case reports during 4 years at the mental health service center of a preparatory school. We diagnosed the complaint of hearing music as a symptom of obsession. Morita therapy was an effective treatment for this symptom. We discuss the characteristics of the symptom as an obsession and the therapy in the light of Morita theory.

Adolescent↗

Palinacousis leading to the diagnosis of temporal lobe seizures in a patient with schizophrenia.

Palinacousis is a rarely reported symptom of temporal lobe dysfunction. Especially in psychiatric patients it may be misdiagnosed if it is not differentiated from the auditory hallucinations of psychotic illness. We report the case of a 20-year-old patient with the previously established diagnosis of paranoid schizophrenia who presented with the symptom of palinacousis. She was not psychotic at that time, her only complaints being recurrent auditory sensations. Repeated EEG recordings showed a left temporal theta focus with spikes. The diagnosis of temporal lobe seizures was made. Treatment with carbamazepine led to complete recovery.

Adult↗

The role of a family history in King Kopetzky Syndrome (obscure auditory dysfunction).

King Kopetzky Syndrome (KKS) is a common condition in which individuals with normal audiograms complain of hearing difficulties, particularly in noisy places. Several studies have shown many patients with KKS to have a family history of hearing problems. In 82 consecutive patients with KKS and normal middle ear function, we compared the performance of those with and without a family history of hearing impairment on a number of sensitized tests. Those with a family history were more likely to have notches on Audioscan testing (p < 0.005) and these notches were broader than those found in patients with no family history (p < 0.05). There was also a tendency for those with a family history to be more likely to have notches on DPOAEs (p < 0.07), and the reproducibility of the TOAEs was poorer in those with a family history. Psychological testing showed males with a family history to have higher scores on free-floating anxiety (p < 0.01) and obsessionality (p < 0.05).

Adult↗

Effect of simulated hearing loss on speech sounds perception.

This study examined the effect of simulated hearing loss on the Speech-Sounds Perception Test (SSPT) performance of a sample of 24 young volunteers with normal hearing sensitivity. Bilateral air conduction thresholds were obtained on all participants. The SSPT was recorded on tape by a professional radio announcer. The tape-recorded stimuli were filtered through a calibrated audiometer and spectrum shaper to simulate two high-frequency losses. Results show a significant effect of simulated high-frequency hearing loss on SSPT performance. Clinicians are advised to exercise caution in attributing poor SSPT performance of their patients with suspected hearing loss solely to a central auditory processing deficit.

Adult↗

Absence of ear advantage on the consonant-vowel dichotic listening test in adolescent and adult dyslexics: specific auditory-phonetic dysfunction.

The present study investigated auditory-phonetic processing in a group of adolescent and adult reading disabled subjects. Right- and left-handed dyslexic subjects were compared with an age, sex, and handedness matched control group. All subjects were studied with a consonant-vowel version of the dichotic listening task with repeated presentations of dichotically presented pairs of CV-syllables. Left and right ear correct scores were compared for ear advantage in each of the different subgroups of subjects. The main finding was the absence of an expected right-ear advantage (REA) in the right-handed dyslexic group as compared to the right-handed normal readers. Both the dyslexic and normal left-handed groups did not show a REA. The findings are discussed within a theoretical framework that focuses on a basic auditory-phonetic processing dysfunction in developmental dyslexia that persists into adulthood.

Adult↗

Cerebral processing of auditory and noxious stimuli in severely brain injured patients: differences between VS and MCS.

We review cerebral processing of auditory and noxious stimuli in minimally conscious state (MCS) and vegetative state (VS) patients. In contrast with limited brain activation found in VS patients, MCS patients show activation similar to controls in response to auditory, emotional and noxious stimuli. Despite an apparent clinical similarity between MCS and VS patients, functional imaging data show striking differences in cortical segregation and integration between these two conditions. However, in the absence of a generally accepted neural correlate of consciousness as measured by functional neuroimaging, clinical assessment remains the gold standard for the evaluation and management of severely brain damaged patients.

Acoustic Stimulation↗

Residual auditory function in persistent vegetative state: a combined PET and fMRI study.

In recent years, a number of studies have demonstrated an important role for functional neuroimaging in the identification of residual cognitive function in persistent vegetative state. Such studies, when successful, may be particularly useful where there is concern about the accuracy of the diagnosis and the possibility that residual cognitive function has remained undetected. Unfortunately, functional neuroimaging in persistent vegetative state is extremely complex and subject to numerous methodological, clinical and theoretical difficulties. Here, we describe the strategy used to study residual auditory and speech processing in a single patient with a clinical diagnosis of persistent vegetative state. Identical positron emission tomography studies, conducted nine months apart, revealed preserved and consistent responses in predicted regions of auditory cortex in response to intelligible speech stimuli. Moreover, a preliminary functional magnetic resonance imaging examination at the time of the second session revealed partially intact responses to semantically ambiguous stimuli, which are known to tap higher aspects of speech comprehension. In spite of the multiple logistic and procedural problems involved, these results have major clinical and theoretical implications and provide a strong basis for the systematic study of possible residual cognitive function in patients diagnosed as being in a persistent vegetative state.

Adult↗

Dichotic listening performance predicts language comprehension.

Dichotic listening performance is considered a reliable and valid procedure for the assessment of language lateralisation in the brain. However, the documentation of a relationship between language functions and dichotic listening performance is sparse, although it is accepted that dichotic listening measures language perception. In particular, language comprehension should show close correspondence to perception of language stimuli. In the present study, we tested samples of reading-impaired and normally achieving children between 10 and 13 years of age with tests of reading skills, language comprehension, and dichotic listening to consonant-vowel (CV) syllables. A high correlation between the language scores and the dichotic listening performance was expected. However, since the left ear score is believed to be an error when assessing language laterality, covariation was expected for the right ear scores only. In addition, directing attention to one ear input was believed to reduce the influence of random factors, and thus show a more concise estimate of left hemisphere language capacity. Thus, a stronger correlation between language comprehension skills and the dichotic listening performance when attending to the right ear was expected. The analyses yielded a positive correlation between the right ear score in DL and language comprehension, an effect that was stronger when attending to the right ear. The present results confirm the assumption that dichotic listening with CV syllables measures an aspect of language perception and language skills that is related to general language comprehension.

Adolescent↗

Development of an auditory test battery for young children: a pilot study.

This article describes the development and results of a pilot study with a recently developed auditory test battery for 4-6-year-old Dutch children. The test battery consisted of a sustained auditory attention (SAA) test, a dichotic words (DW) test, a binaural masking-level difference (BMLD) test, an auditory word discrimination (AWD) test, a gap detection (GD) test and a test of phonemic awareness, the Lindamood Auditory Conceptualization (LAC) test. Our results show that this test battery can be administered successfully to children aged 4 years and older. Most tests showed a clear effect of chronological age; the strongest age effects were found for the DW test and the LAC test. The BMLD test was the only test for which no significant age effect was found in this group of children. A small, but significant right-ear advantage was found on the DW test, for the 4- and the 6-year-olds. Correlations between subtests were in general rather high, suggesting that several tests in this test battery may be tapping into similar auditory abilities.

Age Factors↗

Development and standardization of single and double dichotic digit tests in the Malay language.

Single and double dichotic digit tests in Malay language were developed and standardized as an initial attempt to incorporate tests of auditory processing within the scope of audiology practice in Malaysia. Normative data under free recall, directed right-ear first, and directed left-ear first listening conditions were determined using 120 Malay children between the ages of 6 and 11 years old with normal hearing and normal academic performance. Test-retest reliability was assessed in 15 of the study subjects. In general, the double dichotic digit test produced greater differences in scores between age groups, and a greater right-ear advantage than the single dichotic digit test. In addition, the double dichotic digit test also had higher test-retest reliability. These findings suggest the double dichotic digit test is more clinically applicable.

Acoustic Stimulation↗

Receptive amusia: evidence for cross-hemispheric neural networks underlying music processing strategies.

Perceptual musical functions were investigated in patients suffering from unilateral cerebrovascular cortical lesions. Using MIDI (Musical Instrument Digital Interface) technique, a standardized short test battery was established that covers local (analytical) as well as global perceptual mechanisms. These represent the principal cognitive strategies in melodic and temporal musical information processing (local, interval and rhythm; global, contour and metre). Of the participating brain-damaged patients, a total of 69% presented with post-lesional impairments in music perception. Left-hemisphere-damaged patients showed significant deficits in the discrimination of local as well as global structures in both melodic and temporal information processing. Right-hemisphere-damaged patients also revealed an overall impairment of music perception, reaching significance in the temporal conditions. Detailed analysis outlined a hierarchical organization, with an initial right-hemisphere recognition of contour and metre followed by identification of interval and rhythm via left-hemisphere subsystems. Patterns of dissociated and associated melodic and temporal deficits indicate autonomous, yet partially integrated neural subsystems underlying the processing of melodic and temporal stimuli. In conclusion, these data contradict a strong hemispheric specificity for music perception, but indicate cross-hemisphere, fragmented neural substrates underlying local and global musical information processing in the melodic and temporal dimensions. Due to the diverse profiles of neuropsychological deficits revealed in earlier investigations as well as in this study, individual aspects of musicality and musical behaviour very likely contribute to the definite formation of these widely distributed neural networks.

Acoustic Stimulation↗

Morphometry of the amusic brain: a two-site study.

Congenital amusia (or tone deafness) is a lifelong disability that prevents otherwise normal-functioning individuals from developing basic musical skills. Behavioural evidence indicates that congenital amusia is due to a severe deficit in pitch processing, but very little is known about the neural correlates of this condition. The objective of the present study was to investigate the structural neural correlates of congenital amusia. To this aim, voxel-based morphometry was used to detect brain anatomical differences in amusic individuals relative to musically intact controls, by analysing T1-weighted magnetic resonance images from two independent samples of subjects. The results were consistent across samples in highlighting a reduction in white matter concentration in the right inferior frontal gyrus of amusic individuals. This anatomical anomaly was correlated with performance on pitch-based musical tasks. The results are consistent with neuroimaging findings implicating right inferior frontal regions in musical pitch encoding and melodic pitch memory. We conceive the present results as a consequence of an impoverished communication in a right-hemisphere-based network involving the inferior frontal cortex and the right auditory cortex. Moreover, the data point to the integrity of white matter tracts in right frontal brain areas as being key in acquiring normal musical competence.

Auditory Perceptual Disorders↗