Persistent Interictal Musical Hallucination in a Patient With Mesial Temporal Sclerosis-Related Epilepsy: First Case Report and Etiopathological Hypothesis.
Identifieur interne : 000115 ( Main/Exploration ); précédent : 000114; suivant : 000116Persistent Interictal Musical Hallucination in a Patient With Mesial Temporal Sclerosis-Related Epilepsy: First Case Report and Etiopathological Hypothesis.
Auteurs : Paolo Borelli [Italie] ; Marcella Vedovello ; Massimiliano Braga ; Massimo Pederzoli ; Sandro BerettaSource :
- Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology [ 1543-3641 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lobe temporal, Épilepsie temporale.
- étiologie : Hallucinations.
- complications : Adulte d'âge moyen, Femelle, Humains, Musique, Sclérose, Épilepsie temporale.
English descriptors
- KwdEn :
- MESH :
- complications : Epilepsy, Temporal Lobe.
- etiology : Hallucinations.
- pathology : Epilepsy, Temporal Lobe, Temporal Lobe.
- Female, Humans, Middle Aged, Music, Sclerosis.
Abstract
Musical hallucination is a disorder of complex sound processing of instrumental music, songs, choirs, chants, etc. The underlying pathologies include moderate to severe acquired hearing loss (the auditory equivalent of Charles Bonnet syndrome), psychiatric illnesses (depression, schizophrenia), drug intoxication (benzodiazepines, salicylate, pentoxifylline, propranolol), traumatic lesions along the acoustic pathways, and epilepsy. The hallucinations are most likely to begin late in life; 70% of patients are women. Musical hallucination has no known specific therapy. Treating the underlying cause is the most effective approach; neuroleptic and antidepressant medications have only rarely succeeded.Musical hallucination in epilepsy typically presents as simple partial seizures originating in the lateral temporal cortex. To our knowledge, no formal report of musical hallucination in the interictal state has been published before. In contrast, other interictal psychotic features are a relatively common complication, especially in patients with long-standing drug-resistant epilepsy.We describe a 62-year-old woman with a long history of mesial temporal lobe epilepsy whose musical hallucination was solely interictal. We speculate on the possible link between temporal epilepsy and her hallucination. We hypothesize that, as a result of her epileptic activity-induced damage, an imbalance developed between the excitatory and inhibitory projections connecting the mesial temporal cortex to the other auditory structures. These structures may have generated hyperactivity in the lateral temporal cortex through a "release" mechanism that eventually resulted in musical hallucination.
DOI: 10.1097/WNN.0000000000000111
PubMed: 27984260
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Female (MeSH)</term>
<term>Hallucinations (etiology)</term>
<term>Humans (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Music (MeSH)</term>
<term>Sclerosis (MeSH)</term>
<term>Temporal Lobe (pathology)</term>
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<term>Hallucinations (étiologie)</term>
<term>Humains (MeSH)</term>
<term>Lobe temporal (anatomopathologie)</term>
<term>Musique (MeSH)</term>
<term>Sclérose (MeSH)</term>
<term>Épilepsie temporale (anatomopathologie)</term>
<term>Épilepsie temporale (complications)</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lobe temporal</term>
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<front><div type="abstract" xml:lang="en">Musical hallucination is a disorder of complex sound processing of instrumental music, songs, choirs, chants, etc. The underlying pathologies include moderate to severe acquired hearing loss (the auditory equivalent of Charles Bonnet syndrome), psychiatric illnesses (depression, schizophrenia), drug intoxication (benzodiazepines, salicylate, pentoxifylline, propranolol), traumatic lesions along the acoustic pathways, and epilepsy. The hallucinations are most likely to begin late in life; 70% of patients are women. Musical hallucination has no known specific therapy. Treating the underlying cause is the most effective approach; neuroleptic and antidepressant medications have only rarely succeeded.Musical hallucination in epilepsy typically presents as simple partial seizures originating in the lateral temporal cortex. To our knowledge, no formal report of musical hallucination in the interictal state has been published before. In contrast, other interictal psychotic features are a relatively common complication, especially in patients with long-standing drug-resistant epilepsy.We describe a 62-year-old woman with a long history of mesial temporal lobe epilepsy whose musical hallucination was solely interictal. We speculate on the possible link between temporal epilepsy and her hallucination. We hypothesize that, as a result of her epileptic activity-induced damage, an imbalance developed between the excitatory and inhibitory projections connecting the mesial temporal cortex to the other auditory structures. These structures may have generated hyperactivity in the lateral temporal cortex through a "release" mechanism that eventually resulted in musical hallucination.</div>
</front>
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<Abstract><AbstractText>Musical hallucination is a disorder of complex sound processing of instrumental music, songs, choirs, chants, etc. The underlying pathologies include moderate to severe acquired hearing loss (the auditory equivalent of Charles Bonnet syndrome), psychiatric illnesses (depression, schizophrenia), drug intoxication (benzodiazepines, salicylate, pentoxifylline, propranolol), traumatic lesions along the acoustic pathways, and epilepsy. The hallucinations are most likely to begin late in life; 70% of patients are women. Musical hallucination has no known specific therapy. Treating the underlying cause is the most effective approach; neuroleptic and antidepressant medications have only rarely succeeded.Musical hallucination in epilepsy typically presents as simple partial seizures originating in the lateral temporal cortex. To our knowledge, no formal report of musical hallucination in the interictal state has been published before. In contrast, other interictal psychotic features are a relatively common complication, especially in patients with long-standing drug-resistant epilepsy.We describe a 62-year-old woman with a long history of mesial temporal lobe epilepsy whose musical hallucination was solely interictal. We speculate on the possible link between temporal epilepsy and her hallucination. We hypothesize that, as a result of her epileptic activity-induced damage, an imbalance developed between the excitatory and inhibitory projections connecting the mesial temporal cortex to the other auditory structures. These structures may have generated hyperactivity in the lateral temporal cortex through a "release" mechanism that eventually resulted in musical hallucination.</AbstractText>
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