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Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

Published on: August 15, 2025

Musical hallucinations after left temporal lobectomy.

Vanessa G Williams¹, Geoffrey Tremont, Andrew S Blum

¹Department of Psychiatry, Warren Alpert Medical School of Brown University, RI, USA.

Cognitive and Behavioral Neurology : Official Journal of the Society for Behavioral and Cognitive Neurology

|March 11, 2008

Summary

This study reports the first case of musical hallucinations (MHs) following temporal lobectomy for epilepsy. The patient developed persistent song-like auditory experiences after surgery and ototoxic therapy, alongside existing epilepsy risk factors.

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Area of Science:

Neurology
Otolaryngology

Background:

Musical hallucinations (MHs) are uncommon neurological phenomena.
MHs are often associated with hearing loss, advanced age, female sex, and brain pathologies like epilepsy.

Observation:

A 49-year-old male with intractable partial epilepsy underwent left temporal lobectomy.
Post-surgery and ototoxic therapy for infections, he developed persistent musical hallucinations.
The patient experienced tinnitus and hearing loss as a result of antibiotic treatment.

Findings:

This is the first reported case of MHs linked to temporal lobectomy for epilepsy.
The patient exhibited multiple risk factors for MHs, including epilepsy, neuropsychiatric dysfunction, tinnitus, and hearing loss.
Focal cortical dysplasia was identified in the resected temporal lobe tissue.

Implications:

The case highlights a potential, albeit rare, complication of epilepsy surgery.
Understanding the mechanisms of MHs in this context may offer insights into auditory processing and epilepsy.
Further research is needed to explore the relationship between surgical interventions, ototoxicity, and the development of musical hallucinations.