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Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia
We describe a 57 year old, right handed, English speaking man initially diagnosed with progressive aphasia. Language assessment revealed inconsistent performance in key areas. Expressive language was reduced to a few short, perseverative phrases. Speech was severely apraxic. Primary modes of communi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
IOS Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552095/ https://www.ncbi.nlm.nih.gov/pubmed/22425725 http://dx.doi.org/10.3233/BEN-2012-0356 |
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author | Gibbons, Chris Oken, Barry Fried-Oken, Melanie |
author_facet | Gibbons, Chris Oken, Barry Fried-Oken, Melanie |
author_sort | Gibbons, Chris |
collection | PubMed |
description | We describe a 57 year old, right handed, English speaking man initially diagnosed with progressive aphasia. Language assessment revealed inconsistent performance in key areas. Expressive language was reduced to a few short, perseverative phrases. Speech was severely apraxic. Primary modes of communication included gesture, pointing, gaze, physical touch and leading. Responses were 100% accurate when he was provided with written words, with random or inaccurate responses for strictly auditory/verbal input. When instructions to subsequent neuropsychological tests were written instead of spoken, performance improved markedly. A comprehensive audiology assessment revealed no hearing impairment. Neuroimaging was unremarkable. Neurobehavioral evaluation utilizing written input led to diagnoses of word deafness and frontotemporal dementia, resulting in very different management. We highlight the need for alternative modes of language input for assessment and treatment of patients with language comprehension symptoms. |
format | Online Article Text |
id | pubmed-3552095 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | IOS Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-35520952013-03-18 Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia Gibbons, Chris Oken, Barry Fried-Oken, Melanie Behav Neurol Case Report We describe a 57 year old, right handed, English speaking man initially diagnosed with progressive aphasia. Language assessment revealed inconsistent performance in key areas. Expressive language was reduced to a few short, perseverative phrases. Speech was severely apraxic. Primary modes of communication included gesture, pointing, gaze, physical touch and leading. Responses were 100% accurate when he was provided with written words, with random or inaccurate responses for strictly auditory/verbal input. When instructions to subsequent neuropsychological tests were written instead of spoken, performance improved markedly. A comprehensive audiology assessment revealed no hearing impairment. Neuroimaging was unremarkable. Neurobehavioral evaluation utilizing written input led to diagnoses of word deafness and frontotemporal dementia, resulting in very different management. We highlight the need for alternative modes of language input for assessment and treatment of patients with language comprehension symptoms. IOS Press 2012 2012-03-16 /pmc/articles/PMC3552095/ /pubmed/22425725 http://dx.doi.org/10.3233/BEN-2012-0356 Text en Copyright © 2012 Hindawi Publishing Corporation and the authors. http://creativecommons.org/licenses/by/3.0 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Gibbons, Chris Oken, Barry Fried-Oken, Melanie Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title | Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title_full | Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title_fullStr | Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title_full_unstemmed | Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title_short | Augmented Input Reveals Word Deafness in a Man with Frontotemporal Dementia |
title_sort | augmented input reveals word deafness in a man with frontotemporal dementia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552095/ https://www.ncbi.nlm.nih.gov/pubmed/22425725 http://dx.doi.org/10.3233/BEN-2012-0356 |
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