OBJECTIVES/HYPOTHESIS: Describe the clinical presentation and treatment of a patient with central auditory processing deficiency associated with an anatomic deficit in the left superior temporal lobe. STUDY DESIGN: Case report. METHODS: We report a case and the treatment of an 8-year-old boy with abnormal speech development and auditory processing disorder who was found to have a large cystic lesion of his left superior temporal lobe. RESULTS: An otherwise healthy 8-year old male presented to our department with a history of abnormal speech development. He began acquiring speech at a normal rate until 18 months of age, when he stopped speaking and reverted to unintelligible babbling. At approximately 3 years of age, he began to re-acquire speech at a normal rate, beginning where he had stopped 18 months earlier. Upon work-up, it was discovered that he had a 2.7 x 2.9 x 4.5 cm cystic lesion in the left Sylvian fissure with no associated soft tissue component. Findings were most consistent with arachnoid cyst. Central auditory processing testing was abnormal, particularly regarding the patient's ability to manage competing auditory information. CONCLUSIONS: Central auditory processing disorders are a diverse group of disorders. Regardless of etiology, management focuses on modifying those factors that most affect the individual in an attempt to enhance the access to auditory information.
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机译：目的/假设：描述患有中央听觉处理缺陷并伴有左颞颞叶解剖缺陷的患者的临床表现和治疗方法。研究设计：病例报告。方法：我们报告了一例并治疗了一名8岁男孩，该男孩患有异常的言语发展和听觉加工障碍，被发现其左上颞叶有较大的囊性病变。结果：一位健康的8岁男性因出现异常的言语发展史而出现在我们科室。直到18个月大时，他开始以正常的速度获得语音，直到他停止讲话并恢复为难以理解的胡言乱语。大约3岁时，他开始以正常的速度重新获得语音，从18个月前停下来开始。经过检查，发现他在西尔维娅左裂中有一个2.7 x 2.9 x 4.5 cm的囊性病变，没有相关的软组织成分。发现与蛛网膜囊肿最一致。中央听觉处理测试异常，特别是关于患者管理竞争性听觉信息的能力。结论：中枢听觉加工障碍是多种疾病。不论病因如何，管理人员都致力于修改对个人影响最大的那些因素，以尝试增强对听觉信息的访问。
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