Music to Your Ears: A Case of Idiopathic Musical Hallucinosis

Main Article Content

Joana Raquel Pereira Correia
Tiago Fernandes Flores - Corresponding Author

Tiago Fernandes Flores [tiago_fl_10@hotmail.com]
ORCID iD: 0000-0003-2270-1839

Joana Filipa Correia Costa

Abstract

Musical hallucinosis is a disease with a poorly understood pathophysiology, in which hearing loss and mood disorders can be triggering factors. Although there is no consensual approach, psychoeducation plays a central role.
We present the clinical case of an 84-year-old woman with hearing loss and depressive disorder reactive to her husband’s role as a caregiver. Four days after the introduction of antidepressant medication she developed auditory musical hallucinosis, where she listened to songs from her childhood continuously throughout the day. These complaints remained despite the interruption of the antidepressant and the prescription of antipsychotics.
After screening for organic pathologies, psychoeducation was initiated, focusing on increasing social activity and auditory stimuli and optimizing co-morbid pathologies. The patient had a favorable evolution and almost complete resolution of the complaints.

Keywords: Hallucinations; Hearing Loss/complications; Mental Disorders/complications; Music

Article Details

1.
Pereira Correia JR, Fernandes Flores T, Correia Costa JF. Music to Your Ears: A Case of Idiopathic Musical Hallucinosis. Gaz Med [Internet]. 2024 Mar. 28 [cited 2024 Jun. 18];11(1):49-53. Available from: https://gazetamedica.pt/index.php/gazeta/article/view/658
Section
CLINICAL CASE