Prueter Christian, Waberski Till D, Norra Christine, Podoll Klaus
Department of Psychiatry and Psychotherapy, Medical Faculty of the University of Technology (RWTH), University Hospital, Pauwelsstrasse 30, 52074 Aachen, Germany.
Seizure. 2002 Apr;11(3):198-200. doi: 10.1053/seiz.2001.0573.
Palinacousis is a rarely reported symptom of temporal lobe dysfunction. Especially in psychiatric patients it may be misdiagnosed if it is not differentiated from the auditory hallucinations of psychotic illness. We report the case of a 20-year-old patient with the previously established diagnosis of paranoid schizophrenia who presented with the symptom of palinacousis. She was not psychotic at that time, her only complaints being recurrent auditory sensations. Repeated EEG recordings showed a left temporal theta focus with spikes. The diagnosis of temporal lobe seizures was made. Treatment with carbamazepine led to complete recovery.
听幻觉重现是颞叶功能障碍一种鲜有报道的症状。尤其在精神科患者中，如果不能将其与精神病性疾病的幻听相鉴别，可能会被误诊。我们报告一例20岁既往诊断为偏执型精神分裂症的患者，该患者出现了听幻觉重现的症状。当时她并无精神病性症状，唯一的主诉是反复出现听觉感受。多次脑电图记录显示左侧颞叶有θ波并伴有尖波。诊断为颞叶癫痫。使用卡马西平治疗后完全康复。
