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Complex auditory musical hallucinations with ambivalent feelings
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Orientador(es)
Resumo(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.
Descrição
Palavras-chave
musical allucinations ambivalent feelings music feelings cognitive dysfunction Portugal Madeira Island Região Autónoma da Madeira geriatric psychiatry hearing loss (CT) computed tomography
Contexto Educativo
Citação
Canas-Simião J, Nascimento ST, Reis J,et al. BMJ Case Rep 021;14:e245397.doi:10.1136/bcr-2021-245397
Editora
BMJ