2021 Volume 80 Issue 2 Pages 91-95
A woman in her 30s had experienced three episodes of an intracerebral hematoma caused by moyamoyadisease. Both superior temporal gyri and the right basal ganglia were injured, and she suffered from left hemiparesis, higher brain dysfunction, and auditory agnosia. For the diagnosis of auditory agnosia, it is important (1) toidentify the injured brain site by diagnostic imaging, (2) to conduct a functional hearing test such as the auditorybrainstem response test, and (3) to reach a neurodiagnosis that differentiates aphasia and attention disorders.Our patient underwent a combination of speech therapy, free talk, and the practice of required tasks. Her hearing and speech improved remarkably by watching the presentation of mouth shapes. With both physical therapyand occupational therapy, our patient recovered remarkably and enjoyed her life in her own home.