Ali Jeffrey A
Department of Psychiatry and Human Behavior, School of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Neuropsychiatry Neuropsychol Behav Neurol. 2002 Mar;15(1):66-70.
To present the case of a patient with acquired deafness who experienced musical hallucinations (MH) and to conduct a review of the relevant literature.
Although MH have been known to occur in some people with deafness, literature on this phenomenon, especially from the perspective of etiology and treatment, is limited.
The case report was prepared using a detailed history, general psychiatric and neurologic examinations, and neurobehavioral assessments, and the pertinent literature from 1965 to 2000 was reviewed.
The patient whose case is reported here had acquired deafness and was assessed to have MH and obsessive-compulsive symptoms that responded to the use of nonantipsychotic medication.
The phenomenon of MH with hearing problems that are either prelingual or acquired can exist separately or be a part of constellation of psychiatric symptoms. No precise etiologic basis is yet clearly identifiable; however, this report offers support for a central mechanism explained by the "Release Theory." Additionally, it appears that such hallucinations might be managed safely with psychotropic medications other than antipsychotics.
介绍一例获得性耳聋患者出现音乐幻觉（MH）的病例，并对相关文献进行综述。
尽管已知MH会在一些耳聋患者中出现，但关于这一现象的文献，尤其是从病因和治疗角度的文献有限。
通过详细病史、全面的精神和神经科检查以及神经行为评估编写病例报告，并对1965年至2000年的相关文献进行综述。
本文报告的患者患有获得性耳聋，经评估有MH和强迫症状，使用非抗精神病药物后症状有所缓解。
伴有先天性或获得性听力问题的MH现象可能单独存在，也可能是一系列精神症状的一部分。目前尚未明确确定确切的病因基础；然而，本报告为“释放理论”解释的中枢机制提供了支持。此外，除抗精神病药物外，使用精神药物似乎可以安全地控制此类幻觉。
