药物诱导的音乐幻觉
Brock Bakewell1, Michael Johnson1, Madison Lee1
1Rocky Vista University College of Osteopathic Medicine, Ivins, UT, United States.
药物诱导的音乐幻觉,听音乐没有外部刺激,可以发生在各种药物. 大多数病例在调整或停止侵扰药物后得到解决,这表明与神经递质失衡有关.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 精神病学是一个精神病学.
背景情况:
- 音乐幻觉是一种罕见的感知障碍,涉及无外部刺激的音乐听觉体验.
- 这种现象可能与各种疾病有关,有时是由特定药物引发的,其潜在机制尚不清楚.
研究的目的:
- 通过审查现有的文献来探索药物诱导的音乐幻觉.
- 研究药物诱导的音乐幻觉的病理生理学和潜在的治疗策略.
主要方法:
- 在PubMed,WorldCat,Google Scholar和DOAJ进行了全面的文献搜索,截至2024年1月.
- 使用的关键词是"药物诱导的音乐幻觉"和"药物"与"音乐幻觉"相结合,产生了24篇文章和27个案例.
主要成果:
- 该研究分析了27例病例,患者平均年龄为58.3岁 (67.9%为女性),经常出现听力障碍,精神疾病,癌症或神经退行性疾病.
- 通常涉及的药物包括抗抑郁药,阿片类药物,抗帕金森症药物,胺和伏利可纳. 症状发作时间从75分钟到240天不等.
- 治疗包括戒药,剂量调整或更换药物,导致88.9%的患者完全康复.
结论:
- 药物诱导的音乐幻觉可能是由于神经递质/受体平衡的改变造成的.
- 触发药物和先前存在的疾病之间的相互作用可能在病理生理学中发挥作用.
- 有效的管理往往涉及修改致病药物,具有高的症状解决率.
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