音乐幻觉还是音乐强迫症？两个病例的鉴别诊断

Q3 Medicine

Dementia e Neuropsychologia Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/1980-5764-DN-2023-0073

Octavio Pennella Fenelon Costa, Maria Luiza Dalcim, Sumaia Inaty Smaira, Gustavo Bigaton Lovadini

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引用次数: 0

摘要

音乐幻觉和音乐强迫症是截然不同的现象。前者可以理解为音乐耳综合症的一种表现，会产生失听幻觉，而后者则是强迫症的一种强迫症状。这两种症状往往不为人们所理解，并被误认为是精神病的症状。我们报告了两个病例，一个以音乐幻觉为特征，另一个以音乐强迫症为特征，两个病例都合并有听力障碍，而听力障碍是鉴别诊断的主要干扰因素。我们对这两个病例及其主要特征进行了认真比较，以便进行诊断鉴别和采取有针对性的治疗方法。

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Musical hallucination or musical obsession? A differential diagnosis between two cases.

Musical hallucinations and musical obsessions are distinct phenomena. The first can be understood as a manifestation of the musical ear syndrome, which produces deafferentation auditory hallucinations, while the latter is an obsessive symptom of obsessive-compulsive disorders. Both symptoms are often poorly understood and mistaken for one another or for signs of psychotic disorders. We report two cases, one characterized by musical hallucinations and the other by musical obsessions, both with comorbid hearing impairment, which is the main confounding factor in their differential diagnosis. We critically compare the two cases and their key features, allowing diagnostic differentiation and a targeted therapeutic approach.

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来源期刊

Dementia e Neuropsychologia Medicine-Geriatrics and Gerontology

CiteScore

2.20

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Dementia top Neuropsychologia the official scientific journal of the Cognitive Neurology and Ageing Department of the Brazilian Academy of Neurology and of the Brazilian Association of Geriatric Neuropsychiatry, is published by the "Associação Neurologia Cognitiva e do Comportamento", a nonprofit Brazilian association. Regularly published on March, June, September, and December since 2007.