Paquier P, van Vugt P, Bal P, Cras P, Parizel P M, van Haesendonck J, Creten W, Martin J J
Division of Neurolinguistics (Departments of Neurology and ENT), Antwerp University Hospital, Edegem, Belgium.
J Neurol Neurosurg Psychiatry. 1992 Nov;55(11):1069-73. doi: 10.1136/jnnp.55.11.1069.
A 52 year old, right handed, hearing impaired woman was admitted with headache and neck stiffness. The only neuropsychological symptom was transient auditory perceptions in the left ear, which were musical, seemed familiar and were not influenced by verbal communication. CT and MRI showed a right subarachnoid haemorrhage, while brainstem auditory evoked potentials failed to reveal a brainstem lesion. In patients with organic cerebral disease, unilateral auditory hallucinations (AHs) may indicate a lesion in the contralateral hemisphere. However, according to this review the type of AHs (verbal versus musical) is not consistently associated with a cerebral lesion on either side.
一名52岁、右利手、听力受损的女性因头痛和颈部僵硬入院。唯一的神经心理学症状是左耳短暂的听觉感知，这些感知是音乐性的，似乎很熟悉，且不受言语交流的影响。CT和MRI显示右侧蛛网膜下腔出血，而脑干听觉诱发电位未显示脑干病变。在患有器质性脑病的患者中，单侧幻听（AHs）可能表明对侧半球存在病变。然而，根据本综述，AHs的类型（言语性与音乐性）与两侧的脑病变并无一致的关联。
