Sound lateralization in patients with lesions including the auditory cortex: comparison of interaural time difference (ITD) discrimination and interaural intensity difference (IID) discrimination.

We examined sound lateralization using dichotic presentation of noises in 15 patients with left unilateral (12 patients) or bilateral (3 patients) temporal lobe lesions, that included the auditory cortex, and evaluated their abilities to discriminate interaural time and intensity difference (ITD, IID) separately. On the ITD discrimination test, discrimination thresholds in patients with left unilateral lesions were significantly higher than those in normal subjects, but all patients with left unilateral lesions could detect ITD. However, none of 3 patients with bilateral lesions could detect ITD. On the IID discrimination test, all patients with either unilateral or bilateral lesions could detect IID. IID discrimination thresholds in these patients were significantly higher than those in normal subjects. The auditory cortex plays an important role in discriminating both cues, but appears to be necessary for discriminating ITD.