Lee Grace H, Stewart Jonathan T
Mental Health and Behavioral Sciences Service, James A. Haley VA Hospital, and University of South Florida College of Medicine, Tampa, FL.
Clin Neuropharmacol. 2018 Nov/Dec;41(6):222-223. doi: 10.1097/WNF.0000000000000302.
Musical hallucinations (MHs) are relatively uncommon phenomena sometimes encountered in older patients, especially older women. They usually involve popular, overlearned music, either entire songs or repetitive snippets. While MHs are most commonly associated with hearing loss, they may occur in a variety of psychiatric, neurologic, and iatrogenic conditions. We report a 91-year-old man whose MHs were causally related to the antidepressant mirtazapine. Although mirtazapine is generally well tolerated, it may rarely cause MHs or other psychotic symptoms.
音乐幻觉（MHs）是相对罕见的现象，有时会在老年患者，尤其是老年女性中出现。它们通常涉及流行的、过度熟悉的音乐，或是整首歌曲，或是重复的片段。虽然音乐幻觉最常与听力丧失有关，但它们也可能发生在各种精神、神经和医源性疾病中。我们报告了一名91岁的男性，其音乐幻觉与抗抑郁药米氮平存在因果关系。虽然米氮平通常耐受性良好，但它可能很少会引起音乐幻觉或其他精神病性症状。
