Pasquini F, Cole M G
Department of Family Medicine, St. Mary's Hospital Center, McGill University, Montreal, Quebec, Canada.
J Geriatr Psychiatry Neurol. 1997 Jan;10(1):11-4. doi: 10.1177/089198879701000103.
The purpose of this study was to determine the phenomenology and treatment of idiopathic musical hallucinations in the elderly by reviewing all relevant case reports. A systematic literature search yielded 32 case reports that met the following four inclusion criteria: (1) published in English, French, or Italian; (2) cases aged 65 years of age or older; (3) absence of major focal neurologic disease; and (4) absence of drug toxicity. Information was subsequently abstracted from each case reported and tabulated. Idiopathic musical hallucinations in the elderly occurred predominantly in females who had a hearing impairment, one third of whom were depressed. Treatment of depressed patients with antidepressants and nondepressed patients with anticonvulsants/anxiolytics seemed to result in improvement of many cases.
本研究的目的是通过回顾所有相关病例报告来确定老年人特发性音乐幻觉的现象学及治疗方法。系统的文献检索得出32篇符合以下四项纳入标准的病例报告：（1）以英文、法文或意大利文发表；（2）病例年龄在65岁及以上；（3）无主要局灶性神经疾病；（4）无药物毒性。随后从每份报告的病例中提取信息并制成表格。老年人特发性音乐幻觉主要发生在有听力障碍的女性中，其中三分之一患有抑郁症。用抗抑郁药治疗抑郁症患者以及用抗惊厥药/抗焦虑药治疗非抑郁症患者似乎使许多病例的症状得到改善。
