Auditory spatial deficits following hemispheric lesions: dissociation of explicit and implicit processing.

Auditory spatial deficits occur frequently after hemispheric damage; a previous case report suggested that the explicit awareness of sound positions, as in sound localisation, can be impaired while the implicit use of auditory cues for the segregation of sound objects in noisy environments remains preserved. By assessing systematically patients with a first hemispheric lesion, we have shown that (1) explicit and/or implicit use can be disturbed; (2) impaired explicit vs. preserved implicit use dissociations occur rather frequently; and (3) different types of sound localisation deficits can be associated with preserved implicit use.

Hemispheric competence for auditory spatial representation.

Sound localization relies on the analysis of interaural time and intensity differences, as well as attenuation patterns by the outer ear. We investigated the relative contributions of interaural time and intensity difference cues to sound localization by testing 60 healthy subjects: 25 with focal left and 25 with focal right hemispheric brain damage. Group and single-case behavioural analyses, as well as anatomo-clinical correlations, confirmed that deficits were more frequent and much more severe after right than left hemispheric lesions and for the processing of interaural time than intensity difference cues.

Auditory neglect: what and where in auditory space.

A sound that we hear in a natural setting allows us to identify the sound source and to localise it in space. Several lines of evidence indicate that the two aspects are processed in anatomically distinct cortical networks. Auditory areas that are part of the What or Where processing streams have been identified recently in man and in non-human primates.

Sound recognition and localization in man: specialized cortical networks and effects of acute circumscribed lesions.

Functional imaging studies have shown that information relevant to sound recognition and sound localization are processed in anatomically distinct cortical networks. We have investigated the functional organization of these specialized networks by evaluating acute effects of circumscribed hemispheric lesions. Thirty patients with a primary unilateral hemispheric lesion, 15 with right-hemispheric damage (RHD) and 15 with left-hemispheric damage (LHD), were evaluated for their capacity to recognise environmental sounds, to localize sounds in space and to perceive sound motion.

Preserved use of spatial cues for sound segregation in a case of spatial deafness.

Auditory spatial cues contribute to sound localisation and to sound object segregation. We have investigated these capacities in a patient (NM) who complained having difficulties to localise sounds in everyday life after a right temporo-parieto-frontal ischemic lesion. Two groups of tasks were used, in which spatial dimension was simulated by interaural time differences (ITD): (i) active localisation of stationary or moving sound targets, and (ii) sound segregation on the basis of spatial cues.

What and where in human audition: selective deficits following focal hemispheric lesions.

A sound that we hear in a natural setting allows us to identify the sound source and localize it in space. The two aspects can be disrupted independently as shown in a study of 15 patients with focal right-hemispheric lesions. Four patients were normal in sound recognition but severely impaired in sound localization, whereas three other patients had difficulties in recognizing sounds but localized them well.