Unilateral musical hallucinations and all that jazz.
A 78-year-old hearing-impaired woman who presented to hospital with a stroke and a subsequent epileptic seizure later developed unilateral musical hallucinations in her better hearing (right) ear. She was found to have a left-sided temporal epileptic focus and the music ceased after a second anti-convulsant was introduced. Comments are made on unusual features of the hallucination and its probable causation.
Couper
J
J
Footscray Psychiatric Hospital, Victoria.
D000368:Aged; D001308:Auditory Perceptual Disorders / Q000188:drug therapy / Q000503:physiopathology*; D002561:Cerebrovascular Disorders / Q000188:drug therapy / Q000503:physiopathology*; D004292:Dominance, Cerebral / Q000187:drug effects / Q000502:physiology; D004359:Drug Therapy, Combination; D004833:Epilepsy, Temporal Lobe / Q000188:drug therapy / Q000503:physiopathology*; D004830:Epilepsy, Tonic-Clonic / Q000188:drug therapy / Q000503:physiopathology*; D005260:Female; D006212:Hallucinations / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D009146:Music; D009483:Neuropsychological Tests; D010672:Phenytoin / Q000627:therapeutic use; D011304:Presbycusis / Q000503:physiopathology; D013702:Temporal Lobe / Q000187:drug effects / Q000503:physiopathology; D014635:Valproic Acid / Q000627:therapeutic use
D014635:Valproic Acid; D010672:Phenytoin