Musical hallucinations – a challenge for psychiatric therapeutical management. Case report
Identifieur interne : 000167 ( Main/Exploration ); précédent : 000166; suivant : 000168Musical hallucinations – a challenge for psychiatric therapeutical management. Case report
Auteurs : Be Focseneanu [Roumanie] ; G. Marian [Roumanie]Source :
- Journal of Medicine and Life [ 1844-122X ] ; 2015.
Abstract
Url:
PubMed: 26664485
PubMed Central: 4656967
Affiliations:
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Le document en format XML
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<author><name sortKey="Focseneanu, Be" sort="Focseneanu, Be" uniqKey="Focseneanu B" first="Be" last="Focseneanu">Be Focseneanu</name>
<affiliation wicri:level="1"><nlm:aff id="A1">”Titu Maiorescu” University, Faculty of Medicine, Bucharest, Romania</nlm:aff>
<country xml:lang="fr">Roumanie</country>
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<author><name sortKey="Marian, G" sort="Marian, G" uniqKey="Marian G" first="G" last="Marian">G. Marian</name>
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<affiliation wicri:level="1"><nlm:aff id="A2">”Prof. Dr. Al. Obregia” Psychiatric Clinical Hospital, Clinic 8 Psychiatry, Bucharest, Romania</nlm:aff>
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<author><name sortKey="Focseneanu, Be" sort="Focseneanu, Be" uniqKey="Focseneanu B" first="Be" last="Focseneanu">Be Focseneanu</name>
<affiliation wicri:level="1"><nlm:aff id="A1">”Titu Maiorescu” University, Faculty of Medicine, Bucharest, Romania</nlm:aff>
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<author><name sortKey="Marian, G" sort="Marian, G" uniqKey="Marian G" first="G" last="Marian">G. Marian</name>
<affiliation wicri:level="1"><nlm:aff id="A1">”Titu Maiorescu” University, Faculty of Medicine, Bucharest, Romania</nlm:aff>
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<wicri:noRegion>Bucharest</wicri:noRegion>
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<affiliation wicri:level="1"><nlm:aff id="A2">”Prof. Dr. Al. Obregia” Psychiatric Clinical Hospital, Clinic 8 Psychiatry, Bucharest, Romania</nlm:aff>
<country xml:lang="fr">Roumanie</country>
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<series><title level="j">Journal of Medicine and Life</title>
<idno type="ISSN">1844-122X</idno>
<idno type="e-ISSN">1844-3117</idno>
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<front><div type="abstract" xml:lang="en"><p><bold>Background.</bold>
Musical hallucinations occur in individuals with and without mental illness, and many patients tend to have intact reality testing. Although literature on musical hallucinations is limited, they have been associated with hearing abnormalities, adverse effects of pharmacological agents, female gender, advances in age and psychiatric illness.</p>
<p><bold>Aim.</bold>
To present the psychiatric management of a case of an old female patient, who suddenly developed verbal and musical hallucinations with a pervasive impact on her daily activities.</p>
<p><bold>Method.</bold>
Female, 71 years old, developed verbal and musical hallucinations 6 months before that have intensified later. She was known with bilateral hypoacusia starting with the age of 45, and magnetic resonance imaging performed 1 year before proved multiple lacunar infarcts. Because of the persistence, most of the time of these auditory hallucinations, the patient experienced pervasive difficulties with her major areas of activities. She was referred to a psychiatric department for evaluation and treatment.</p>
<p><bold>Results.</bold>
The psychiatric consult revealed neither a depressive relapse, nor a mild cognitive impairment, and obsessive-compulsive disorder was suspected with intrusive obsessions. Patient received, as antiobsessional augmentation escitalopram 10mg/ day, an atypical antipsychotic, risperidone, which at 3 mg/ day induced extrapyramidal symptoms and cognitive impairment. Therefore, the dose of risperidone was reduced, extrapyramidal symptoms disappeared, and 300mg/ day of acidum valproicum was initiated.</p>
<p><bold>Discussion.</bold>
Our patient presented with diminished sensory input to the auditory cortex, and it was hard to make a differential diagnosis between an organic and a mental etiology. </p>
<p><bold>Conclusion.</bold>
The integration of musical hallucinations into a psychiatric disorder may be a difficult task, and, their treatment represents a challenge. </p>
</div>
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