Complex auditory musical hallucinations with ambivalent feelings
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/38157 |
Resumo: | A 78-year-old woman with hypertension, diabetes mellitus type 2 and bilateral sensorineural hearing loss was referenced to geriatric psychiatry consultation. She presented cognitive dysfunction, erotomanic delusion and complex musical hallucinations (MH), described as hearing her neighbour singing a familiar church song along with bells in the background, making comments and talking to her. A computed tomography (CT) of the brain detected small right nucleocapsular and bilateral external capsules hypodensities of presumed vascular aetiology during hospitalisation. MH are a rare phenomenon with heterogeneous aetiology. Most frequently, the cause is hearing impairment; other causes include social isolation, cognitive dysfunction, vascular risk factors and medication. Studies suggest that some brain areas related to musical memory circuitry might be related and not fully mapped. Auditory verbal hallucinations with a voice that either comments, talks or sings to the patient have never been described in the literature, making this clinical case attractive. |
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Complex auditory musical hallucinations with ambivalent feelingsmusical allucinationsambivalent feelingsmusic feelingscognitive dysfunctionPortugalMadeira IslandRegião Autónoma da Madeirageriatric psychiatryhearing loss(CT) computed tomographyA 78-year-old woman with hypertension, diabetes mellitus type 2 and bilateral sensorineural hearing loss was referenced to geriatric psychiatry consultation. She presented cognitive dysfunction, erotomanic delusion and complex musical hallucinations (MH), described as hearing her neighbour singing a familiar church song along with bells in the background, making comments and talking to her. A computed tomography (CT) of the brain detected small right nucleocapsular and bilateral external capsules hypodensities of presumed vascular aetiology during hospitalisation. MH are a rare phenomenon with heterogeneous aetiology. Most frequently, the cause is hearing impairment; other causes include social isolation, cognitive dysfunction, vascular risk factors and medication. Studies suggest that some brain areas related to musical memory circuitry might be related and not fully mapped. Auditory verbal hallucinations with a voice that either comments, talks or sings to the patient have never been described in the literature, making this clinical case attractive.BMJRepositório ComumCanas-Simião, HugoNascimento, Sandra TelesReis, JoãoFreitas, Carina2021-12-02T13:07:30Z2021-102021-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/38157engCanas-Simião J, Nascimento ST, Reis J,et al. BMJ Case Rep 021;14:e245397.doi:10.1136/bcr-2021-2453971757-790X (online)10.1136/bcr-2021-245397info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T02:18:49Zoai:comum.rcaap.pt:10400.26/38157Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:34:36.516176Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Complex auditory musical hallucinations with ambivalent feelings |
title |
Complex auditory musical hallucinations with ambivalent feelings |
spellingShingle |
Complex auditory musical hallucinations with ambivalent feelings Canas-Simião, Hugo musical allucinations ambivalent feelings music feelings cognitive dysfunction Portugal Madeira Island Região Autónoma da Madeira geriatric psychiatry hearing loss (CT) computed tomography |
title_short |
Complex auditory musical hallucinations with ambivalent feelings |
title_full |
Complex auditory musical hallucinations with ambivalent feelings |
title_fullStr |
Complex auditory musical hallucinations with ambivalent feelings |
title_full_unstemmed |
Complex auditory musical hallucinations with ambivalent feelings |
title_sort |
Complex auditory musical hallucinations with ambivalent feelings |
author |
Canas-Simião, Hugo |
author_facet |
Canas-Simião, Hugo Nascimento, Sandra Teles Reis, João Freitas, Carina |
author_role |
author |
author2 |
Nascimento, Sandra Teles Reis, João Freitas, Carina |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Canas-Simião, Hugo Nascimento, Sandra Teles Reis, João Freitas, Carina |
dc.subject.por.fl_str_mv |
musical allucinations ambivalent feelings music feelings cognitive dysfunction Portugal Madeira Island Região Autónoma da Madeira geriatric psychiatry hearing loss (CT) computed tomography |
topic |
musical allucinations ambivalent feelings music feelings cognitive dysfunction Portugal Madeira Island Região Autónoma da Madeira geriatric psychiatry hearing loss (CT) computed tomography |
description |
A 78-year-old woman with hypertension, diabetes mellitus type 2 and bilateral sensorineural hearing loss was referenced to geriatric psychiatry consultation. She presented cognitive dysfunction, erotomanic delusion and complex musical hallucinations (MH), described as hearing her neighbour singing a familiar church song along with bells in the background, making comments and talking to her. A computed tomography (CT) of the brain detected small right nucleocapsular and bilateral external capsules hypodensities of presumed vascular aetiology during hospitalisation. MH are a rare phenomenon with heterogeneous aetiology. Most frequently, the cause is hearing impairment; other causes include social isolation, cognitive dysfunction, vascular risk factors and medication. Studies suggest that some brain areas related to musical memory circuitry might be related and not fully mapped. Auditory verbal hallucinations with a voice that either comments, talks or sings to the patient have never been described in the literature, making this clinical case attractive. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-02T13:07:30Z 2021-10 2021-10-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/38157 |
url |
http://hdl.handle.net/10400.26/38157 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Canas-Simião J, Nascimento ST, Reis J,et al. BMJ Case Rep 021;14:e245397.doi:10.1136/bcr-2021-245397 1757-790X (online) 10.1136/bcr-2021-245397 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
BMJ |
publisher.none.fl_str_mv |
BMJ |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134907928150016 |