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Year : 2017  |  Volume : 23  |  Issue : 1  |  Page : 46-48

Prelingual auditory verbal agnosia, A rare condition

Department of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

Correspondence Address:
Dr. Violeta Necula
Department of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 8th Babes Street, Cluj-Napoca
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-7749.199499

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Auditory agnosia, agnosia for speech is a rare condition, caused mostly by stroke, in adults, while in children it is often a sequel of herpes simplex encephalitis or is associated with epilepsy, in Landau–Kleffner syndrome. This article presents a rare case of verbal auditory agnosia as a result of meningoencephalitis, caused probably by herpes simplex virus. The patient's developed encephalitis at the age of 1 year and 4 months. After her recovery, the family noticed the absence of language development. She was initially diagnosed with profound hearing loss, and the hearing aids did not help her. The speech therapy developed her lip-reading skills with a hard-to-understand pronunciation. Later, audiometry showed a nearly normal peripheral auditory system and magnetic resonance imaging revealed the characteristic brain lesions in both the temporal lobes, explaining the patient's evolution. Assessment of children with delayed speech development must consider the central hearing disorders as a differential diagnosis.

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