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获得性听力损失患者的听觉幻觉:一个案例系列
Hana Millen1, Caitlin J McCarthy2, Sara Brady3
1Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, hmillen@mcw.edu.
WMJ : official publication of the State Medical Society of Wisconsin
|November 6, 2025
概括
听觉幻觉可能发生在有听力损失的人身上. 治疗可能涉及生物心理社会方法,包括药物治疗和行为策略,以有效管理这些症状.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病学是一个精神病学.
背景情况:
- 在听力障碍患者中经常观察到听觉幻觉.
- 这些幻觉的潜在机制,特别是脱差假设,需要进一步调查.
- 这些症状往往被误诊,并被错误地归因于其他疾病.
研究的目的:
- 在获得性听力损失的患者中呈现两例听觉幻觉.
- 讨论与这些症状相关的诊断和治疗挑战.
- 强调在听力障碍的背景下识别听觉幻觉的重要性.
主要方法:
- 使用案例报告方法.
- 描述了两名患有双边获得性听力损失和新发症幻觉的患者.
- 记录了对各种精神药物的治疗反应.
主要成果:
- 案例1:一位60多岁的女性经历了听觉和视觉幻觉和妄想,对奥兰扎平有部分反应,对塞特拉林和奎平有显著改善.
- 案例二:一个70多岁的男性,有着渐进式的听觉幻觉和妄想,对RISPERIDONE反应良好.
- 这两种情况都说明了治疗反应的变化.
结论:
- 在听力障碍的听觉幻觉的病理生理学和治疗方面缺乏共识.
- 医疗保健提供者应考虑听力损失患者的听觉幻觉,避免误诊.
- 包括精神教育和行为干预在内的综合生物心理社会方法可以有效地管理这些症状.
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