Agnosie auditive secondaire à un infarctus temporal bilatéral en 2 temps

Auditory agnosia is a central hearing disorder. The subject is neither able to recognize nor identify verbal and nonverbal sounds, while reading, writing and oral expression are preserved. These syndromes have been well described. However, appropriate illustrative support is rare. We report the case of a 62-year-old woman with auditory agnosia, initially associated with Wernicke's aphasia, secondary to bilateral temporal stroke that developed with a two-phase pattern. Once aphasia had improved, the symptoms were the incapacity to recognize verbal and nonverbal sounds associated with a major alteration of understanding speech that improved with lip reading. Abundant video material enables a rich symptomatic description. We discuss the diagnosis in light of known brain circuits involved in auditory perception and the different syndromes described.