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Publication
Complex auditory musical hallucinations with ambivalent feelings
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Advisor(s)
Abstract(s)
A 78-year-old woman with hypertension, diabetes
mellitus type 2 and bilateral sensorineural hearing loss
was referenced to geriatric psychiatry consultation. She
presented cognitive dysfunction, erotomanic delusion
and complex musical hallucinations (MH), described as
hearing her neighbour singing a familiar church song
along with bells in the background, making comments
and talking to her. A computed tomography (CT) of
the brain detected small right nucleocapsular and
bilateral external capsules hypodensities of presumed
vascular aetiology during hospitalisation. MH are a
rare phenomenon with heterogeneous aetiology. Most
frequently, the cause is hearing impairment; other
causes include social isolation, cognitive dysfunction,
vascular risk factors and medication. Studies suggest that
some brain areas related to musical memory circuitry
might be related and not fully mapped. Auditory verbal
hallucinations with a voice that either comments, talks
or sings to the patient have never been described in the
literature, making this clinical case attractive.
Description
Keywords
Musical hallucinations Ambivalent feelings Auditory hallucinations . Faculdade de Ciências da Vida
Citation
Canas-Simião, H., Nascimento, S. T., Reis, J., & Freitas, C. (2021). Complex auditory musical hallucinations with ambivalent feelings. BMJ Case Reports CP, 14(11), e245397. http://dx.doi.org/10.1136/bcr-2021-245397
Publisher
BMJ Publishing Group