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[Musical Hallucinosis].

Akinori Futamura1, Mitsuru Kawamura, Kenjiro Ono

  • 1Division of Neurology, Department of Internal Medicine, Showa University School of Medicine.

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|November 13, 2018
PubMed
Summary
This summary is machine-generated.

Musical hallucinations involve hearing music without a stimulus, often linked to hearing loss and cognitive decline in the elderly. Research explores potential treatments, including hearing aids and medications, for this complex auditory phenomenon.

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Area of Science:

  • Neurology
  • Otolaryngology
  • Psychiatry

Background:

  • Musical hallucination is a complex auditory hallucination involving perceived music without acoustic stimuli.
  • It is associated with various conditions, including psychiatric disorders, epilepsy, and organic brain diseases.
  • Idiopathic musical hallucinations are common in elderly individuals with hearing loss, potentially indicating cerebral function deterioration.

Purpose of the Study:

  • To review the pathophysiology and potential treatments for musical hallucinations.
  • To highlight the association between musical hallucinations, hearing loss, and cognitive decline.
  • To underscore the potential prevalence of undiagnosed cases in aging populations.

Main Methods:

  • Literature review of musical hallucination.
  • Analysis of proposed pathophysiological mechanisms, including auditory Charles Bonnet syndrome.
  • Summary of reported treatment strategies.

Main Results:

  • Musical hallucinations may arise from decreased auditory stimulation, altered auditory network activation, and disrupted sensation-memory relationships.
  • Auditory Charles Bonnet syndrome is a proposed mechanism.
  • Various treatments like hearing aids, antiepileptics, anticholinergics, and antipsychotics have shown potential relief.

Conclusions:

  • Musical hallucinations in the elderly, especially with hearing loss, may signal underlying cerebral dysfunction.
  • Effective treatment strategies are still under investigation but may involve addressing underlying conditions and symptoms.
  • Given global population aging, recognizing and diagnosing musical hallucinations is crucial, particularly in regions like Japan with high elderly populations.