Martinelli José Eduardo, Cecato Juliana Francisca, Aprahamian Ivan
Department of Internal Medicine, Faculty of Medicine of Jundiaí, São Paulo, Brazil.
Dement Neuropsychol. 2016 Jul-Sep;10(3):247-250. doi: 10.1590/S1980-5764-2016DN1003013.
Musical hallucination is a type of complex auditory hallucination. Possible etiologies are deafness, psychiatric disorders such as schizophrenia, major depression, use of medication and stress, besides neurologic diseases including epilepsy, stroke and cancer. Uncommon etiologies encompass infectious diseases, metabolic disorders, and sensory deprivation. Although musical hallucinations have a major impact on patients' lives, they have been undervalued and understudied in the literature. We report a case of a 79-year-old woman with musical hallucination (hearing a sung National anthem) without cognitive impairment or hearing loss. The patient had preserved insight of her complaint and responded well to neuroleptics.
音乐幻觉是一种复杂的听觉幻觉。可能的病因包括耳聋、精神疾病如精神分裂症、重度抑郁症、药物使用和压力，此外还有神经系统疾病，如癫痫、中风和癌症。罕见的病因包括传染病、代谢紊乱和感觉剥夺。尽管音乐幻觉对患者的生活有重大影响，但在文献中它们一直被低估且研究不足。我们报告一例79岁女性患有音乐幻觉（听到国歌演唱）但无认知障碍或听力损失的病例。该患者对自己的症状有自知力，且对抗精神病药物反应良好。
