Musical hallucinations in cerebrovascular disease

被引:2
作者
Limphaibool, Nattakarn [1 ]
Maciejewska, Barbara [1 ]
Kowal, Piotr [1 ]
Kozubski, Wojciech [1 ]
Iwanowski, Piotr [1 ]
机构
[1] Poznan Univ Med Sci, Poznan, Poland
来源
POSTEPY PSYCHIATRII I NEUROLOGII | 2021年 / 30卷 / 03期
关键词
stroke; cerebrovascular disease; hearing impairment; brain lesion; musical hallucinations; BRAIN;
D O I
10.5114/ppn.2021.110759
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose: Musical hallucinations (MH) are a subset of complex auditory hallucinations in which individuals perceive music in the absence of an external auditory stimulus. It is a rare phenomenon, first described by Ballinger in 1846, with diverse presentations from familiar childhood melodies to a simple pitch which evolved into the harmonies Robert Schumann incorporated in his sole Violin Concerto. Views: This uncommon phenomenon has diverse etiologies, including psychiatric and neurological backgrounds, which guide its classification and methods of treatment. The pathophysiological basis of MH remains understood incompletely, potentially resulting from lesions anywhere along the auditory pathway, from the external auditory canal to the auditory cortex. The strong association between MH and hearing impairment has led researchers to hypothesize that MH represent a "release phenomenon," in which sensory deprivation, eliminating the afferent input to the auditory sensory network, instigates spontaneous activity within a system - comparable to the Charles Bonnet syndrome, in which visual impairment precipitates the development of visual hallucinations (so called auditory Charles Bonnet syndrome), and phantom limb syndrome, in which amputees experience sensations in a limb that is not no longer there. In this paper, we report on six cases of MH in patients with cerebrovascular disease, who presented to the neurology department at the Poznan University of Medical Sciences from 2015 to 2018. Conclusions: We discuss the findings of computed tomography and magnetic resonance imaging of six cases of MH in patients with cerebrovascular disease, and the treatment leading to its resolution. We briefly review the literature on MH in patients with cerebrovascular diseases, discussing their suggested pathophysiology, clinical presentations and response to medical treatment.
引用
收藏
页码:177 / 182
页数:6
相关论文
共 14 条
[1]   Systemic sclerosis [J].
Allanore, Yannick ;
Simms, Robert ;
Distler, Oliver ;
Trojanowska, Maria ;
Pope, Janet ;
Denton, Christopher P. ;
Varga, John .
NATURE REVIEWS DISEASE PRIMERS, 2015, 1
[2]  
ASAAD G, 1986, AM J PSYCHIAT, V143, P1088
[3]   MUSICAL HALLUCINATIONS - A HISTORICAL AND CLINICAL-STUDY [J].
BERRIOS, GE .
BRITISH JOURNAL OF PSYCHIATRY, 1990, 156 :188-194
[4]  
Braun CMJ, 2003, J PSYCHIATR NEUROSCI, V28, P432
[5]   Musical hallucinations: review of treatment effects [J].
Coebergh, Jan A. F. ;
Lauw, R. F. ;
Bots, R. ;
Sommer, I. E. C. ;
Blom, J. D. .
FRONTIERS IN PSYCHOLOGY, 2015, 6
[6]   Musical hallucinations after pontine ischemia: the auditory Charles Bonnet syndrome? [J].
Dinges, Martin ;
Riemer, Thomas ;
Schubert, Theresa ;
Pruess, Harald .
JOURNAL OF NEUROLOGY, 2013, 260 (10) :2678-2680
[7]   The clinical spectrum of musical hallucinations [J].
Evers, S ;
Ellger, T .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2004, 227 (01) :55-65
[8]   Minds on replay: musical hallucinations and their relationship to neurological disease [J].
Golden, Erin C. ;
Josephs, Keith A. .
BRAIN, 2015, 138 :3793-3802
[9]   Musical hallucinosis in acquired deafness - Phenomenology and brain substrate [J].
Griffiths, TD .
BRAIN, 2000, 123 :2065-2076
[10]  
KESHAVAN MS, 1992, NEUROPSY NEUROPSY BE, V5, P211