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October 1981

Central Razzle: A Central Auditory Pain Syndrome?

Author Affiliations

Department of Neurology Boston Veterans Administration Medical Center 150 S Huntington Ave Boston, MA 02130 Department of Neurology Boston University School of Medicine 80 E Concord St Boston, MA 02118

Arch Neurol. 1981;38(10):671. doi:10.1001/archneur.1981.00510100099023

To the Editor.—  Central pain disorders have been described previously in detail. Recently, central dazzle or central photophobia has been reviewed by Cummings and Gittinger (Archives 1981;38:372-374) and a parallel has been drawn to central pain syndromes. These authors described a patient with a posterior cerebral artery infarct in whom disturbing central dazzle subsequently developed, necessitating the use of sunglasses and light occlusion. This problem may represent an example of a more general family of disorders related to disorders of sensory efferent pathways. The following is a case of a central "razzle," a disorder similar to central dazzle, that refers to a bothersome sensation elicited by auditory stimuli.

Report of a Case.—  We recently examined a 58-year-old man with the syndrome of pure word deafness associated with a small left superior temporal infarct and a larger right parietotemporal infarct (S.H.A., T. Allard, MA, M. Naeser, PhD, et al, 1980). Clinically

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