Musician developed right putaminal hemorrhage but conserved absolute pitch ability -Case report

Musician Conserved Absolute Pitch Ability Despite a Right Parietal Subcortical Hemorrhage

Absolute pitch (AP) can identify and designate the pitch chroma of a particular tone without using any external references. Unknown neurological mechanisms underlie it. We report the case of a 53-year-old AP musician who developed a right parietal hemorrhage but conserved AP ability. Our case had a lesion in the right parietal lobe that did not affect her AP ability. Our case further supports the hypothesis that the left cerebral hemisphere is important for AP ability.

Musician developed left putaminal hemorrhage and lost absolute pitch ability-case report

Absolute pitch (AP) recognizes and labels the pitch chroma of a given tone without external reference. Its neural mechanism remains unclear. We report a 68-year-old AP musician who developed a left putaminal hemorrhage edematous lesion under the posterior insular cortex. Diffusion tensor tractography with the region of interest, including Heschl's gyrus, was performed. In the left hemisphere, the middle longitudinal fasciculus was absent, especially at the parietal lobe. Her AP ability was lost. As the hematoma was absorbed and the left MdLF was observed on the tractography, her AP ability recovered. Our case suggested that the left middle longitudinal fasciculus, a part of the ventral auditory pathway, plays a role in AP.