A case of expressive-vocal amusia in a right-handed patient with left hemispheric cerebral infarction.

Abstract:

:A 53-year-old right-handed woman had an extensive lesion in the left hemisphere due to an infarction caused by vasospasm secondary to subarachnoid bleeding. She exhibited persistent expressive-vocal amusia with no symptoms of aphasia. Evaluation of the patient's musical competence using the Montreal Battery for Evaluation of Amusia, rhythm reproduction tests, acoustic analysis of pitch upon singing familiar music, Japanese standard language tests, and other detailed clinical examinations revealed that her amusia was more dominantly related to pitch production. The intactness of her speech provided strong evidence that the right hemisphere played a major role in her linguistic processing. Data from functional magnetic resonance imaging while she was singing a familiar song, a scale, and reciting lyrics indicated that perilesional residual activation in the left hemisphere was associated with poor pitch production, while right hemispheric activation was involved in linguistic processing. The localization of infarction more anterior to the left Sylvian fissure might be related to the dominant deficits in expressive aspects of the singing of the patient. Compromised motor programming producing a single tone may have made a major contribution to her poor singing. Imperfect auditory feedback due to borderline perceptual ability or improper audio-motor associations might also have played a role.

journal_name

Brain Cogn

journal_title

Brain and cognition

authors

Uetsuki S,Kinoshita H,Takahashi R,Obata S,Kakigi T,Wada Y,Yokoyama K

doi

10.1016/j.bandc.2016.01.003

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

23-9

eissn

0278-2626

issn

1090-2147

pii

S0278-2626(16)30003-3

journal_volume

103

pub_type

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