The family also started considering the possibility of sending her to a nursing home believing that she was showing signs of the onset of dementia. After the patient’s symptoms began, her family was worried about with the possibility that she had a psychiatric or neurological illness following a consult with her general practitioner the patient was given treatment with sertraline. It was noted that the patient did not have any previous incidents of psychiatric illness, she had not shown symptoms of cognitive deterioration, and she had no changes in her regular treatment she lived alone and was independent in her daily life. The songs could last for hours and did not bother her she assumed they came from the outside environment. She had not heard anything with her right ear for several years. She heard them in her left ear, which was the only one that still retained partial audition with a hearing aid. It consisted of childhood songs, which she had learned and liked (Manolo Escobar, folk songs). She had been evaluated some years ago by an otorhinolaryngologist and was diagnosed with bilateral hypoacusis, which was severe in the right ear and moderate in the left ear, where she had a hearing aid.įour months prior to the consult, the patient had her first episode of MH. We present the case of a woman who came in for a consult due to musical hallucinations in which the correct diagnosis and treatment allow the patient to have personal autonomy avoiding institutionalization for her condition.Ĩ1-year-old woman with a history of hypertension treated via Enalapril and dyslipidemia treated via diet. There is no specific treatment the majority of cases in which treatment has been effective depended on the resolution of the underlying cause. And sometimes it's difficult to know its etiology. They can be produced as a side effect of some medications (pentoxifylline, tramadol, Bromocriptina) and have also been observed in hepatic transplants. They are also produced in patients with severe hearing loss constituting the auditory Charles Bonnet Syndrome (CBS). The organic MH are prevalent above all in patients with neurological pathologies, whether these be cerebral lesions (vascular cerebral diseases, tumors, demyelinating disease.), epilepsy of the temporal lobe, Parkinson's, infectious processes of the central nervous system, etc. However, itis not in the psychiatric environment where they are more prevalent. They have been linked to psychiatric illnesses such as the cases of schizophrenia, depression or obsessive-compulsive disorders. Since then sets of cases have been published and some studies, in spite of which the prevalence of musical hallucinations cannot be clearly defined it is believed that approximately 0.16% of the population of a general hospital. But it was not until some 50 years later, in 1932, when the difference between musical hallucinations of organic or psychotic origins was established. Musical Hallucination (MH) constitutes a complex type of auditory hallucination in which the perception of said hallucination can be in the form of melodies, music or songs.Īs figures in the scientific literature, Emmanuel Régis (a French psychiatrist), was the first to mention musical hallucinations (in 1881). Auditory hallucinations can be simple (unspecific sound, in the form of tinnitus.) or complex (more elaborate, of a more complex content). An auditory hallucination is defined as an abnormal perception of sound in the absence of an external auditory stimulus.
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