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Musical Hallucinations and Parkinson Disease

Ergün, Ufuk MD; Bozbaş, Ayla MD; Akin, Ümit MD; İnan, Levent MD

doi: 10.1097/NRL.0b013e3181872da7
Clinical Report

Introduction: Musical hallucinations are complex auditory hallucinations. The term covers the clinical phenomenon of hearing tunes and melodies that are uncontrollable and not related to external stimuli. Musical hallucinations may be experienced in a variety of conditions including diseases of the ear and neurologic, psychiatric, infectious, and toxic states. When the underlying pathology resolves, musical hallucinations tend to disappear.

Case Report: We present an elderly man with musical hallucinations and without any conditions known to be related with its occurrence, except for Parkinson disease.

Conclusion: Musical hallucinations in the elderly occur predominantly in women with a hearing impairment. Parkinson disease is usually accompanied by visual hallucinations. Auditory hallucinations are rare in Parkinson disease and most of them are accompanied by visual hallucinations. Isolated auditory hallucinations are rarer in Parkinson disease and mostly consist of human voices.

From the Department of Neurology, Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey.

Reprints: Ufuk Ergün, MD, Nilgün Sok. 4/3, Farabi, Çankaya, Ankara- Turkey 06540. E-mail: ufukergun@yahoo.com.

© 2009 Lippincott Williams & Wilkins, Inc.