聽覺症狀在中風中並不常見，因為單側病變很少導致顯著的聽力障礙。本報告詳細描述了一名50歲女性的獨特案例，她因全身性紅斑狼瘡（SLE）及新診斷的抗磷脂綜合症（APS）而反復發生雙側顳葉缺血性中風。患者最初出現輕度的雙側「嗡嗡聲」，持續六個月，但起初未受到重視。在第二次缺血事件後，語言理解急劇惡化，最終導致純語言失聰。影像學檢查顯示腦部CT顯示右側顳葉舊梗塞，而MRI則顯示左側顳葉新梗塞，解釋了她深度的聽覺處理缺陷。實驗室檢查確定了抗磷脂綜合症，並對她進行了華法林和加強免疫抑制療法治療。儘管進行了管理，她的聽覺理解仍然嚴重受損，不得不依賴讀唇。

Auditory symptoms are an uncommon manifestation of stroke, as unilateral le-sions rarely cause significant hearing impairment. This report details a unique case of recurrent ischemic strokes in both temporal lobes of a 50-year-old woman with systemic lupus erythematosus (SLE) and a newly diagnosed antiphospholipid syn-drome (APS). The patient initially presented with mild bilateral "buzzing" for six months, which was initially disregarded. An acute deterioration in speech compre-hension and eventual pure word deafness followed a second ischemic event. Imaging revealed an old right temporal lobe infarct on brain CT and a new left temporal lobe infarct on MRI, explaining her profound auditory processing deficit. Laboratory studies confirmed APS, and she was treated with warfarin and intensified immuno-suppressive therapy. Despite management, her auditory comprehension remained severely impaired, necessitating lip-reading. This case highlights the diagnostic challenges of subtle initial auditory symptoms and underscores the importance of a high clinical suspicion and advanced neuroimaging in patients with prothrombotic conditions like APS, where recurrence is a significant concern.