Dichotic listening performances in the follow-up of Landau and Kleffner syndrome

Abstract

In the follow-up study of 4 children with acquired epileptic aphasia or Landau and Kleffner syndrome, dichotic listening studies evidenced a unilateral ear extinction. In the four cases, the dichotic extinction was contralateral to the temporal cortex involved in the generation of epileptic discharges during the active period of epilepsy. This pattern of dichotic performances persisted several years after the complete recovery from epilepsy and EEG normalization. The long-lasting dichotic extinction revealed a permanent dysfunction in the temporal auditory system that may be a consequence of the presence of an active epileptogenic focus during the critical period of functional differentiation of the temporal cortex.