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Coexistent Acquired Hearing Loss and Right Fronto-Parietal Meningioma as Causes of Musical Hallucinations
1 Department of Psychiatry and Psychotherapy, University of Pécs, Hungary. Correspondence: Tamás Tényi, Department of Psychiatry of Psychotherapy, University of Pécs, 7623 Pécs Rét u. 2, Hungary; e-mail: tamas.tenyi{at}aok.pte.hu.
Although etiological theories on musical hallucinations tend to focus on single factors, this article reports the case of a patient with coexistent factors that might be relevant in aberrant musical listening. A 61-year-old woman with symptoms of anxiety was examined in an outpatient psychiatric center. During the examination, musical hallucinations were explored. Severe hearing loss, including loss in her right ear and mild loss in her left ear, was found. The magnetic resonance scan exhibited a right-sided fronto-parietal meningioma. In lieu of the presenting clinical picture, where the presence of simple partial seizures was considered a possibility, carbamazepine treatment and later a low-dose risperidone add-on medication were introduced. This report emphasizes the importance of assessing the interactive potential of coexistent pathogenetic factors. Such factors might take an active presence, especially when considered in the context of evaluating musical hallucinations.
Key Words: musical hallucinations • meningioma • hearing loss • epilepsy
This version was published on October
1, 2009 Music and Medicine, Vol. 1, No. 2,
97-101 (2009) |
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