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Journal of Neurology, Neurosurgery, and Psychiatry 2004;75:1201-1202; doi:10.1136/jnnp.2003.021790
Copyright © 2004 by the BMJ Publishing Group Ltd.
Journal of Neurology Neurosurgery and Psychiatry 2004;75:1201-1202
© 2004 BMJ Publishing Group Ltd

LETTER

Disruption of facial affect processing in word deafness

K W Greve1,2, M T Heinly1, C L Joffe2 and K J Bianchini2,3

1 Department of Psychology, University of New Orleans, LA, USA
2 Jefferson Neurobehavioral Group, University of New Orleans, LA, USA
3 Department of Psychology, University of New Orleans, LA, USA

Correspondence to:
Correspondence to:
Dr K W Greve;
kgreve@uno.edu

Keywords: affect processing; Florida affect battery; hemispheric disconnection; word deafness

The first 150 words of the full text of this article appear below.

Word deafness (also known as auditory agnosia for speech, or as auditory verbal agnosia) is a rare neurobehavioral syndrome characterised by an inability to understand spoken language in spite of intact hearing, speaking, reading, writing, and ability to identify non-speech sounds. The lesions associated with this condition tend to be bilateral and symmetrical in nature, and include cortical-subcortical tissue of the anterior part of the superior temporal gyri. However, Heschl’s gyrus is not always damaged completely in the left hemisphere. Moreover, there have been documented cases of word deafness caused by unilateral left hemisphere cortical and subcortical lesions.1 Although these lesions are anatomically different, they represent an effective partial hemispheric disconnection.

Hemispheric disconnection has been associated with unusual disruptions of emotional processing. Bowers and Heilman2 reported a patient with a lesion of the deep white matter of the right occipito-temporo-parietal region. This patient could name famous faces and discriminate affectively . . . [Full text of this article]


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