Amusia after right frontal resection for epilepsy with singing seizures: case report and review of the literature.
Identifieur interne : 000224 ( Main/Corpus ); précédent : 000223; suivant : 000225Amusia after right frontal resection for epilepsy with singing seizures: case report and review of the literature.
Auteurs : Susan Mcchesney-Atkins ; Keith G. Davies ; Georgia D. Montouris ; John T. Silver ; Daniel L. MenkesSource :
- Epilepsy & behavior : E&B [ 1525-5050 ] ; 2003.
English descriptors
- KwdEn :
- MESH :
- methods : Neurosurgical Procedures.
- pathology : Epilepsy.
- surgery : Epilepsy, Frontal Lobe.
- Adult, Electroencephalography, Humans, Magnetic Resonance Imaging, Male, Music, Verbal Behavior, Videotape Recording.
Abstract
Although many authors consider aprosodia and amusia to be synonymous, they actually represent two distinct communication disorders. Amusia refers to a profound deficit involving musical abilities, whereas aprosodia refers to deficits regarding the emotional content of speech. Many authors have presumed a similar etiology and localization for these conditions and assumed that these disorders would not occur independently. We report the case of a 31-year-old choir director who developed amusia without aprosodia after a right frontal lobe resection for intractable seizures. His ictal onset manifested with rhythmic slapping of his thighs while communicating with melodic speech. Video EEG monitoring documented right hemispheric discharges that occurred simultaneously with this ictal behavior. While a right frontal lobe resection made him seizure-free, his postoperative amusia was so profound that he could no longer continue his occupation as a choir director. This case suggests that the right frontal cortex has different sites for musical ability distinct from the centers regarding prosody. Patients scheduled to undergo right frontal lobectomy ought to be counseled regarding the potential loss of musical abilities.
DOI: 10.1016/s1525-5050(03)00079-9
PubMed: 12791339
Links to Exploration step
pubmed:12791339Le document en format XML
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<author><name sortKey="Mcchesney Atkins, Susan" sort="Mcchesney Atkins, Susan" uniqKey="Mcchesney Atkins S" first="Susan" last="Mcchesney-Atkins">Susan Mcchesney-Atkins</name>
<affiliation><nlm:affiliation>Semmes-Murphey Clinic, Memphis, TN 38103, USA.</nlm:affiliation>
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<author><name sortKey="Davies, Keith G" sort="Davies, Keith G" uniqKey="Davies K" first="Keith G" last="Davies">Keith G. Davies</name>
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<author><name sortKey="Montouris, Georgia D" sort="Montouris, Georgia D" uniqKey="Montouris G" first="Georgia D" last="Montouris">Georgia D. Montouris</name>
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<author><name sortKey="Silver, John T" sort="Silver, John T" uniqKey="Silver J" first="John T" last="Silver">John T. Silver</name>
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<author><name sortKey="Menkes, Daniel L" sort="Menkes, Daniel L" uniqKey="Menkes D" first="Daniel L" last="Menkes">Daniel L. Menkes</name>
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<author><name sortKey="Montouris, Georgia D" sort="Montouris, Georgia D" uniqKey="Montouris G" first="Georgia D" last="Montouris">Georgia D. Montouris</name>
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<author><name sortKey="Silver, John T" sort="Silver, John T" uniqKey="Silver J" first="John T" last="Silver">John T. Silver</name>
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<author><name sortKey="Menkes, Daniel L" sort="Menkes, Daniel L" uniqKey="Menkes D" first="Daniel L" last="Menkes">Daniel L. Menkes</name>
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<term>Electroencephalography</term>
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<term>Frontal Lobe (surgery)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<front><div type="abstract" xml:lang="en">Although many authors consider aprosodia and amusia to be synonymous, they actually represent two distinct communication disorders. Amusia refers to a profound deficit involving musical abilities, whereas aprosodia refers to deficits regarding the emotional content of speech. Many authors have presumed a similar etiology and localization for these conditions and assumed that these disorders would not occur independently. We report the case of a 31-year-old choir director who developed amusia without aprosodia after a right frontal lobe resection for intractable seizures. His ictal onset manifested with rhythmic slapping of his thighs while communicating with melodic speech. Video EEG monitoring documented right hemispheric discharges that occurred simultaneously with this ictal behavior. While a right frontal lobe resection made him seizure-free, his postoperative amusia was so profound that he could no longer continue his occupation as a choir director. This case suggests that the right frontal cortex has different sites for musical ability distinct from the centers regarding prosody. Patients scheduled to undergo right frontal lobectomy ought to be counseled regarding the potential loss of musical abilities.</div>
</front>
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<DateRevised><Year>2019</Year>
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<Abstract><AbstractText>Although many authors consider aprosodia and amusia to be synonymous, they actually represent two distinct communication disorders. Amusia refers to a profound deficit involving musical abilities, whereas aprosodia refers to deficits regarding the emotional content of speech. Many authors have presumed a similar etiology and localization for these conditions and assumed that these disorders would not occur independently. We report the case of a 31-year-old choir director who developed amusia without aprosodia after a right frontal lobe resection for intractable seizures. His ictal onset manifested with rhythmic slapping of his thighs while communicating with melodic speech. Video EEG monitoring documented right hemispheric discharges that occurred simultaneously with this ictal behavior. While a right frontal lobe resection made him seizure-free, his postoperative amusia was so profound that he could no longer continue his occupation as a choir director. This case suggests that the right frontal cortex has different sites for musical ability distinct from the centers regarding prosody. Patients scheduled to undergo right frontal lobectomy ought to be counseled regarding the potential loss of musical abilities.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McChesney-Atkins</LastName>
<ForeName>Susan</ForeName>
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<AffiliationInfo><Affiliation>Semmes-Murphey Clinic, Memphis, TN 38103, USA.</Affiliation>
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<Author ValidYN="Y"><LastName>Montouris</LastName>
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<MeshHeading><DescriptorName UI="D004569" MajorTopicYN="N">Electroencephalography</DescriptorName>
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<MeshHeading><DescriptorName UI="D004827" MajorTopicYN="N">Epilepsy</DescriptorName>
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<NumberOfReferences>26</NumberOfReferences>
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