• Dae-Won Gwak, Eunhee Park, Jin-Su Park, Eunji Kim, Min-Gu Kang, Ae-Ryoung Kim, Jae-Eun Lee, Seung-Hwan Jung, Jae-Gyeong Jeong, Kyu-Yup Lee, Yongmin Chang, and Tae-Du Jung.
• Department of Rehabilitation Medicine, Kyungpook National University Chilgok Hospital.
• Medicine (Baltimore). 2021 Jan 22; 100 (3): e24302e24302.

RationaleCortical deafness is a rare auditory dysfunction caused by damage to brain auditory networks. The aim was to report alterations of functional connectivity in intrinsic auditory, motor, and sensory networks in a cortical deafness patient.Patient ConcernsA 41-year-old woman suffered a right putaminal hemorrhage. Eight years earlier, she had suffered a left putaminal hemorrhage and had minimal sequelae. She had quadriparesis, imbalance, hypoesthesia, and complete hearing loss.DiagnosesShe was diagnosed with cortical deafness. After 6 months, resting-state functional magnetic resonance imaging (rs-fMRI) and diffuse tensor imaging (DTI) were performed. DTI revealed that the acoustic radiation was disrupted while the corticospinal tract and somatosensory track were intact using deterministic tracking methods. Furthermore, the patient showed decreased functional connectivity between auditory and sensorimotor networks.InterventionsThe patient underwent in-patient stroke rehabilitation therapy for 2 months.OutcomesGait function and ability for activities of daily living were improved. However, complete hearing impairment persisted in 6 months after bilateral putaminal hemorrhagic stroke.LessonsOur case report seems to suggest that functional alterations of spontaneous neuronal activity in auditory and sensorimotor networks are related to motor and sensory impairments in a patient with cortical deafness.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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