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Complex auditory musical hallucinations with ambivalent feelings

dc.contributor.authorCanas-Simião, Hugo
dc.contributor.authorNascimento, Sandra Teles
dc.contributor.authorReis, João
dc.contributor.authorFreitas, Carina
dc.date.accessioned2021-12-02T13:07:30Z
dc.date.available2021-12-02T13:07:30Z
dc.date.issued2021-10
dc.description.abstractA 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCanas-Simião J, Nascimento ST, Reis J,et al. BMJ Case Rep 021;14:e245397.doi:10.1136/bcr-2021-245397pt_PT
dc.identifier.doi10.1136/bcr-2021-245397pt_PT
dc.identifier.issn1757-790X (online)
dc.identifier.urihttp://hdl.handle.net/10400.26/38157
dc.language.isoengpt_PT
dc.publisherBMJpt_PT
dc.subjectmusical allucinationspt_PT
dc.subjectambivalent feelingspt_PT
dc.subjectmusic feelingspt_PT
dc.subjectcognitive dysfunctionpt_PT
dc.subjectPortugalpt_PT
dc.subjectMadeira Islandpt_PT
dc.subjectRegião Autónoma da Madeirapt_PT
dc.subjectgeriatric psychiatrypt_PT
dc.subjecthearing losspt_PT
dc.subject(CT) computed tomographypt_PT
dc.titleComplex auditory musical hallucinations with ambivalent feelingspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue11pt_PT
oaire.citation.startPagee245397pt_PT
oaire.citation.titleBMJ Case Reportspt_PT
oaire.citation.volume14pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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