Bhatt Y M, de Carpentier J P
Department of Otolaryngology Head and Neck Surgery, Royal Preston Hospital, Fulwood, Preston, UK.
J Laryngol Otol. 2012 Jun;126(6):615-8. doi: 10.1017/S0022215112000242.
A musical hallucination is defined as a form of auditory hallucination characterised by the perception of music in the absence of external acoustic stimuli. It is infrequently cited in the literature, although population studies suggest a greater prevalence. The aetiology of this unusual disorder remains unclear.
A 70-year-old man with acquired hearing loss suffered a whiplash injury in a low-speed road traffic accident, and subsequently presented with bilateral 'tinnitus.' On closer questioning, he described hearing orchestral music. There was no evidence of psychosis, delirium or intoxication, and the patient was managed expectantly.
This patient represents the first published case of musical hallucination precipitated by whiplash injury. We explore the possible pathophysiological underpinnings of musical hallucination and highlight the need for a greater awareness of this disorder. A management strategy is suggested.
音乐幻觉被定义为一种听觉幻觉形式，其特征是在没有外部声音刺激的情况下感知到音乐。尽管人群研究表明其患病率更高，但在文献中很少被提及。这种不寻常疾病的病因仍不清楚。
一名70岁的男性，患有后天性听力损失，在一次低速道路交通事故中遭受颈部挥鞭伤，随后出现双侧“耳鸣”。经进一步询问，他描述听到了管弦乐。没有精神病、谵妄或中毒的证据，对该患者进行了观察处理。
该患者是首例因颈部挥鞭伤引发音乐幻觉的病例报道。我们探讨了音乐幻觉可能的病理生理基础，并强调需要提高对这种疾病的认识。提出了一种管理策略。
