Disordered processing of the pattern in sound over time has been observed i
n a number of clinical disorders, including developmental dyslexia. This st
udy addresses the brain mechanisms required for the perception of such a pa
ttern. We report the systematic evaluation of temporal perception in a pati
ent with a single intact right auditory cortex and a large right frontal ro
be lesion. A striking dissociated deficit was demonstrated in the perceptio
n of temporal pattern at the level of tens or hundreds of milliseconds. Thi
s proves that, contrary to common belief mechanisms in the pathway up to an
d including the primary auditory cortex are not sufficient for the normal p
erception of temporal pattern. This work suggests a need for frontal proces
sing for the normal perception of auditory pattern. NeuroReport 11:919-922
(C) 2000 Lippincott Williams & Wilkins.