18FDG-PET and Electroencepha- lographic Findings in a Patient Suffering from Musical Hallucinations

R. Erkwoh; H. Ebel; F. Kachel; W. Reiche; E. B. Ringelstein; U. Büll; H. Saß

doi:10.1055/s-0038-1629659

Nuklearmedizin - NuclearMedicine, Table of Contents

Nuklearmedizin 1993; 32(03): 159-163
DOI: 10.1055/s-0038-1629659

Fallbericht

Schattauer GmbH

¹⁸FDG-PET and Electroencepha- lographic Findings in a Patient Suffering from Musical Hallucinations

R. Erkwoh

¹From the Department of Psychiatry, RWTH Aachen, FRG

,

H. Ebel

¹From the Department of Psychiatry, RWTH Aachen, FRG

,

F. Kachel

¹From the Department of Psychiatry, RWTH Aachen, FRG

,

W. Reiche

²The Clinic of Nuclear Medicine, RWTH Aachen, FRG

,

E. B. Ringelstein

³And the Department of Neurology, RWTH Aachen, FRG

,

U. Büll

²The Clinic of Nuclear Medicine, RWTH Aachen, FRG

,

H. Saß

¹From the Department of Psychiatry, RWTH Aachen, FRG

› Author Affiliations

Abstract

Summary

The majority of reports on the phenomenon of musical hallucinations suggests that this abnormality is a complication of a progressive peripheral hearing deficit. The present case report and a review of the international literature would, however, indicate that this syndrome may be the result of a dysfunction of the temporal cortex.

Zusammenfassung

Fallbericht über das Phänomen der musikalischen Halluzination, nachgewiesen mit PET/¹⁸F-FDG. Es wird die (Anti-)Hypothese abgeleitet, daß dieses Syndrom auf einer Funktionsstörung der temporalen Großhirnrinde basiert.

Key words

Musical hallucination - EEG - PET

Schlüsselwörter

Musik-Halluzination - EEG - PET

Full Text

References

REFERENCES
1 Aizenberg D, Schwartz B, Modai I. Musical hallucinations, acquired deafness and depression. J Nerv Ment Dis 1986; 174: 309-11.
2 Aizenberg D, Modai I, Roitman M, Mendelson E, Wijsenbeek H. Musical hallucinations, depression and old age. Psychopathol 1987; 20: 220-3.
3 Aizenberg D, Dorfman-Etrog P, Zemishlany Z, Hermesh H. Musical hallucinations and hearing deficit in a young non-psychotic female. Psychopathol 1991; 24: 45-8.
4 Alavi A, Reivich M, Greenberg J. Mapping of functional activity in brain with ^l8F- fluorodeoxyglucose. Sem Nucl Med 1981; 11: 24-31.
5 Allen JR. Salicylate-induced musical perceptions. N Engl J Med 1985; 313: 642-3.
6 Colman WS. Hallucinations in the sane, associated with local organic disease of the sensory organs. Br Med J. 1894: 1015-7.
7 Engel J, Kuhl DE, Phelps ME, Mazziotta JC. Interictal cerebral glucose metabolism in partial epilepsy and its relation to EEG changes. Ann Neurol 1982; 12: 510-7.
8 Fenton GW, McRae GA. Musical hallucinations in a deaf elderly woman. Br J Psychiat 1989; 155: 401-3.
9 Gilchrist PN, Kalucy RS. Musical hallucinations in the elderly: a variation on the theme. Austr N Z J Psychiat 1983; 17: 286-91.
10 Gloor P, Olivier A, Quesney LF. The role of the limbic system in experiential phenomena of temporal lobe epilepsy. Ann Neurol 1982; 12: 129-44.
11 Greenberg J, Reivich M. Alavi et al. Metabolic mapping of functional activity in human subjects with the ¹⁸F-fluorodeoxy- glucose technique. Science 1981; 212: 678-80.
12 Hammeke TA, McQuillen MP, Cohen BA. Musical hallucinations associated with acquired deafness. J Neurol Neurosurg Psychiat 1983; 46: 570-2.
13 Hecain H, Ropert H. Les hallucinations auditives des otopathes. J Psychol Norm Pathol 1963; 60: 293-324.
14 Jacobs L, Feldmann M, Bender MB. Palina- cousis or persistent auditory sensations. Trans Am Neurol Ass (NY) 1971; 96: 123-6.
15 Jacobs L, Fcldmann M, Diamond SP, Bender MB. Palinacousis: persistent or recurring auditory sensations. Cortex 1973; 09: 275-87.
16 Jonas WR. Akustische Halluzinose bei Schwerhörigkeit. Nervenarzt 1986; 57: 252-4.
17 Karbowski K. Status psychomotoricus. Klinische und elektroenzephalographischc Aspekte. In: Status psychomotoricus und seine Differentialdiagnose. Bern, Stuttgart, Wien: Huber; 1980: 39-71.
18 Karbowski K. Auditive und vestibuläre Halluzinationen epileptischer Genese. In: Halluzinationen bei Epilepsien und ihre Diffe- rentialdiagnosc. Karbowski K. Hrsg. Bern: Huber; 1982: 24-51.
19 Mazziotta JC, Engel J. The use and impact of positron computed tomography scanning in epilepsy. Epilepsia 1984; 25 (Suppl. 02) 86-104.
20 Mazziotta JC, Phelps ME, Carson RE, David E, Kuhl MD. Tomographic mapping of human cerebral metabolism: auditory stimulation. Neurology 1982; 32: 921-37.
21 Miller TC, Crosby TW. Musical hallucinations in a deaf elderly patient. Ann Neurol 1978; 05: 301-2.
22 Penfield W. Some mechanisms of concious- ness discovered by electrical stimulation of the brain. Proc Nat Acad 1958; 44: 51-66.
23 Penfield W, Perot P. The brain’s record of auditory and visual experience. Brain 1963; 86: 595-6.
24 Phelps ME, Mazziotta JC, Huang CS. Study of cerebral function with positron computed tomography. J Ccrebr Blood Flow Metab 1982; 02: 113-62.
25 Podoll K, Thilmann AF, Noth J. Musikalische Halluzinationen bei Schwerhörigkeit im Alter. Nervenarzt 1991; 62: 451-3.
26 Raghuram R, Kcshavan MD, Channabasavanna SM. Musical hallucinations in a deaf middle-aged patient. J Clin Psychiat 1980; 41: 357.
27 Reivich M, Greenberg J, Alavi A. et al. The use of ¹⁸F-fluorodeoxyglucose technique for mapping of the functional neural pathways in man. Acta Neurol Scand 1979; 60 (Suppl. 72) 198-9.
28 Rhein HW. Hallucinations of hearing and diseases of the car. NY Med J Med Rec 1913; 97: 1236-8.
29 Ross ED, Jossman PB, Bell B, Sabin T, Geschwind N. Musical hallucinations in deafness. J Am Med Ass 1975; 231: 620-2.
30 Rozanski J, Rosen H. Musical hallucinosis in otosclerosis. Conf neurol 1952; 12: 49-54.
31 Schiffter R, Straschill M. Aura continua musicalis – Bericht über einen Krankheitsfall mit sensorischem Status epilepticus. Nervenarzt 1977; 48: 321-5.
32 Schneider K. Klinische Psychopathologie. 13. unveränderte Aufl. Stuttgart: Thieme; 1987
33 Wienhard K, Wagner R, Heiss W-H. PET. Grundlagen und Anwendungen der Positronen-Emissions-Tomographie. Berlin, Heidelberg: Springer; 1989: 120-52.
34 Wieser HG. Temporal lobe or psychomotor status epilepticus. A case report. Electroen- cephal Clin Neurophysiol 1980; 48: 558-72.
35 Wodak E. Musikalische Paracousien. Pract Oto-Rhinolarying 1959; 21: 264-7.