Augustin J, Guegan-Massardier E, Levillain D, Lemarchand M, Mihout B, Hannequin D
Département de Neurologie, CHRU Charles-Nicolle, 76031 Rouen.
Rev Neurol (Paris). 2001 Mar;157(3):289-92.
A 44-year-old woman demonstrated a musical hallucinosis four months after a massive infarction in the territory of the right middle cerebral artery. This musical hallucinosis consisting of familiar tunes, was continuous and perceived by both ears. Magnetic Resonance Imaging, middle and late auditory evoked potentials suggested that right Heschl's gyrus and associative areas were imparied. Audiometry demonstrated a low right transmission deafness. The hallucinosis was persistent for seven months and stopped just after hemorrhage of the right ear. This case gives the opportunity to review the different mechanisms responsible for musical hallucinosis.
一名44岁女性在右侧大脑中动脉供血区发生大面积梗死4个月后出现音乐性幻觉。这种由熟悉曲调组成的音乐性幻觉持续存在，双耳均可感知。磁共振成像、中晚期听觉诱发电位提示右侧颞横回及联合区受损。听力测定显示右侧传导性耳聋。幻觉持续了7个月，在右耳出血后才停止。该病例为回顾音乐性幻觉的不同发病机制提供了契机。
