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Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report

Patient: Male, 62-year-old Final Diagnosis: Hearing impairment Symptoms: Hallucinations • hearing impairment Medication: — Clinical Procedure: — Specialty: Audiology OBJECTIVE: Unknown etiology BACKGROUND: Hearing music that has no source is known as musical ear syndrome, also known as musical hallu...

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Autor principal: Aldhafeeri, Faten Mane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511037/
https://www.ncbi.nlm.nih.gov/pubmed/36123807
http://dx.doi.org/10.12659/AJCR.936537
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author Aldhafeeri, Faten Mane
author_facet Aldhafeeri, Faten Mane
author_sort Aldhafeeri, Faten Mane
collection PubMed
description Patient: Male, 62-year-old Final Diagnosis: Hearing impairment Symptoms: Hallucinations • hearing impairment Medication: — Clinical Procedure: — Specialty: Audiology OBJECTIVE: Unknown etiology BACKGROUND: Hearing music that has no source is known as musical ear syndrome, also known as musical hallucinations (MH), and is often associated with hearing impairment. This report is of a 62-year-old man with a 20-year history of unilateral hearing loss and continuous MH. We investigated the neural basis of MH in a subject without any known neurological or psychiatric disorders. CASE REPORT: A 62-year-old man had a history of 20 years of symptomatic mild hearing loss accompanied with continuous MH in the form of multiple tones. The MH were unilateral in the left side and much more likely to be experienced as externally located and uncontrollable. He underwent structural and functional magnetic resonance imaging (fMRI). Results indicated increased activity and reduced cortical thickness in multiple cortical areas, such as the prefrontal cortex (PFC) and temporal and limbic regions, indicating complex processing and involvement. CONCLUSIONS: The neurological findings indicate differentiated or multiple-area involvement in MH. These morpho-functional changes may represent a neural reorganization causing MH to arise. The altered or activated regions are all related to the processing of emotions and the processing of episodic memory, which has been seen in the MH of schizophrenic patients. This report also highlights that patients with hearing loss may present with continuous MH, and that these patients should not be assumed to have delusions or psychosis, but should be investigated for underlying auditory abnormalities and treated appropriately.
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spelling pubmed-95110372022-09-26 Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report Aldhafeeri, Faten Mane Am J Case Rep Articles Patient: Male, 62-year-old Final Diagnosis: Hearing impairment Symptoms: Hallucinations • hearing impairment Medication: — Clinical Procedure: — Specialty: Audiology OBJECTIVE: Unknown etiology BACKGROUND: Hearing music that has no source is known as musical ear syndrome, also known as musical hallucinations (MH), and is often associated with hearing impairment. This report is of a 62-year-old man with a 20-year history of unilateral hearing loss and continuous MH. We investigated the neural basis of MH in a subject without any known neurological or psychiatric disorders. CASE REPORT: A 62-year-old man had a history of 20 years of symptomatic mild hearing loss accompanied with continuous MH in the form of multiple tones. The MH were unilateral in the left side and much more likely to be experienced as externally located and uncontrollable. He underwent structural and functional magnetic resonance imaging (fMRI). Results indicated increased activity and reduced cortical thickness in multiple cortical areas, such as the prefrontal cortex (PFC) and temporal and limbic regions, indicating complex processing and involvement. CONCLUSIONS: The neurological findings indicate differentiated or multiple-area involvement in MH. These morpho-functional changes may represent a neural reorganization causing MH to arise. The altered or activated regions are all related to the processing of emotions and the processing of episodic memory, which has been seen in the MH of schizophrenic patients. This report also highlights that patients with hearing loss may present with continuous MH, and that these patients should not be assumed to have delusions or psychosis, but should be investigated for underlying auditory abnormalities and treated appropriately. International Scientific Literature, Inc. 2022-09-20 /pmc/articles/PMC9511037/ /pubmed/36123807 http://dx.doi.org/10.12659/AJCR.936537 Text en © Am J Case Rep, 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Articles
Aldhafeeri, Faten Mane
Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title_full Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title_fullStr Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title_full_unstemmed Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title_short Musical Ear Syndrome in a Patient with Unilateral Hearing Loss: A Case Report
title_sort musical ear syndrome in a patient with unilateral hearing loss: a case report
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9511037/
https://www.ncbi.nlm.nih.gov/pubmed/36123807
http://dx.doi.org/10.12659/AJCR.936537
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