Advanced Practice - My Patient Hearing Opera Singer in Right Ear
Auditory release hallucinations (aka "musical ear syndrome")
- Usually encountered in patients with hearing loss
- Experienced on the side of hearing loss
- Thought to be due to "disinhibition of auditory memory circuits due to sensory deprivation"
- Often experienced as music that the patient learned when they had intact hearing (church hymns are common)
- Hearing aids may eliminate the auditory hallucination
- Treatment with antidepressants and/or antipsychotics has some reported efficacy
- Noted to have cerumen impaction on affected side
- The large cerumen plug was irrigated from the external auditory canal
- The patients auditory hallucinations resolved within minutes
Sanchez TG, Rocha SC et al. Musical Hallucination Associated With Hearing Loss. Arq Neuropsiquiatr 2011;69(2B): 395-400.