Di Dio Adam S, Fields Madeline C, Rowan A James
Department of Neurology, The Mount Sinai Medical Center, New York, New YorkPosthumously.
Epilepsia. 2007 Sep;48(9):1801-1806. doi: 10.1111/j.1528-1167.2007.01179.x. Epub 2007 Jul 18.
Palinacousis is an auditory illusion rarely reported in cases of temporal lobe dysfunction. Detailed observations where made by Jacobs et al. in 1973. Since that time, only a few other cases have been described in the literature. After reviewing the literature and comparing our clinical experience, we believe that palinacousis can occur as an aura, a simple partial seizure, a complex partial seizure, and/or a postictal event. Within one academic year, we observed two patients who experienced palinacousis. Palinacousis maybe more common than recognized in patients with receptive aphasias or diffuse cerebral dysfunction, whose language deficits preclude adequate description. It is important to differentiate palinacousis from auditory hallucinations seen in psychotic and psychiatric patients. Identification of palinacousis as an aura, simple partial seizure, complex partial seizure, and/or postictal phenomenon can help localize potential lesions and improve patient care.
持续性听觉现象是一种听觉幻觉，在颞叶功能障碍病例中很少被报道。1973年雅各布斯等人进行了详细观察。自那时以来，文献中仅描述了其他少数病例。在回顾文献并比较我们的临床经验后，我们认为持续性听觉现象可作为先兆、单纯部分性发作、复杂部分性发作和/或发作后事件出现。在一个学年内，我们观察到两名经历持续性听觉现象的患者。持续性听觉现象在感受性失语症或弥漫性脑功能障碍患者中可能比认识到的更为常见，这些患者的语言缺陷妨碍了充分描述。将持续性听觉现象与精神病和精神疾病患者中出现的幻听区分开来很重要。将持续性听觉现象识别为先兆、单纯部分性发作、复杂部分性发作和/或发作后现象有助于定位潜在病变并改善患者护理。
