Preserved use of spatial cues for sound segregation in a case of spatial deafness

Auditory spatial cues contribute to sound localisation and to sound object segregation. We have investigated these capacities in a patient (NM) who complained having difficulties to localise sounds in everyday life after a right temporo-parieto-frontal ischemic lesion. Two groups of tasks were used, in which spatial dimension was simulated by interaural time differences (ITD): (i) active localisation of stationary or moving sound targets, and (ii) sound segregation on the basis of spatial cues. This latter included a spatial release from masking paradigm and two ITD diotic tasks. NM failed to localise stationary and moving sounds: she perceived all the stimuli at the centre of the head, and could not differentiate stationary from moving targets. In contrast, NM was able to use ITD cues to segregate simultaneous sound sources in the spatial-release-from-masking paradigm and in ITD diotic tasks. These results suggest that sound localisation and sound object segregation based on spatial cues do not rely on the same mechanisms. (C) 2003 Elsevier Science Ltd. All rights reserved.