Behavioral Aspects Of Auditory Agnosia

Although apperceptive functions are usually assumed to be normal in individuals with auditory agnosia, behavioral evidence has been accumulating that the audiogram in patients with auditory agnosia is not an adequate measure of their ability to analyze the kinds of sounds critical for speech. With more sophisticated auditory tests, several abnormalities have emerged. For instance, many such patients have difficulty determining the temporal order of sounds and they may require a greater than normal sound intensity to make very brief sounds audible. Some but not all patients also have difficulty discriminating the loudness of stimuli and their location in space. Disturbances of temporal resolution (order of sounds) and two-click discrimination have also been described. To illustrate some of these associated hearing deficits, the following case is one that might previously have been judged to exemplify an associative auditory agnosia.

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