My assumption is that he means when in game, if anything within the game occurs behind the central point of hearing (for example, when you play CS:S you hear sound all around you from where your character stands, this being the central point of hearing) he / she is not able to hear anything.
My only suggestion would be to make sure that the windows sound properties arent conflicting with any sound card manufacturer program properties you may have. I have had this issue before myself with my Windows properties and motherboard sound properties (my sound is built in) having an issue with one another. Excuse the poor suggestion but I'm not very savvy when it comes to sound issues.
Rove.
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Note: Formerly known as Breaks.
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