Vizioli R
Chair of Neurophysiopathology, Rome University La Sapienza, Italy.
Int J Neurosci. 1989 Jul;47(1-2):159-64. doi: 10.3109/00207458908987428.
The problem of musicogenic epilepsy is reconsidered by the author in the light of a case of temporal lobe seizures with secondary generalization precipitated by any type of music. The inclusion of musicogenic epilepsy in the chapter of reflex epilepsies is discussed and critizised by the author considering that music sets in motion too many structures and cannot be reduced to crude perception of rhythm and melodies. It is considered that three levels of integration are involved in music: a sensory level (the lowest one) an emotional and waking level (the second one) and finally a highest level, allowing aesthetic appreciation. It is the opinion of the author that musicogenic epilepsy has to do mostly with the limbic brain, that is with the second level of integration. Musicogenic epilepsy therefore should be better included in the dismissed chapter of affective epilepsy of Bratz.
作者根据一例由任何类型音乐诱发的颞叶癫痫伴继发性全身性发作的病例，重新审视了音乐性癫痫的问题。作者讨论并批评了将音乐性癫痫纳入反射性癫痫章节的做法，认为音乐调动了太多结构，不能简单归结为对节奏和旋律的粗略感知。人们认为，音乐涉及三个整合层次：一个是感觉层次（最低层次），一个是情感和觉醒层次（第二个层次），最后是一个最高层次，允许审美欣赏。作者认为，音乐性癫痫主要与边缘脑有关，也就是与第二个整合层次有关。因此，音乐性癫痫最好归入布拉茨已被摒弃的情感性癫痫章节。
