That song in my head: a review on Musical Hallucinations

Introduction Hearing music inside our heads is frequent, however some hear it more vividly, constantly and involuntarily. Musical Hallucinations (MH), first described by Baillarger in 1846, are a complex type of auditory hallucination characterized by perception of melodies, music, or songs. Objec...

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Main Authors: F. Ramalheira, M. Conde Moreno, J. Romão, S. Vieira
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822018260/type/journal_article
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author F. Ramalheira
M. Conde Moreno
J. Romão
S. Vieira
author_facet F. Ramalheira
M. Conde Moreno
J. Romão
S. Vieira
author_sort F. Ramalheira
collection DOAJ
description Introduction Hearing music inside our heads is frequent, however some hear it more vividly, constantly and involuntarily. Musical Hallucinations (MH), first described by Baillarger in 1846, are a complex type of auditory hallucination characterized by perception of melodies, music, or songs. Objectives This work aims to review the literature considering MH. Methods Pubmed and Google Scholar search using MeSH term “musical hallucinations” Results MH occurs in 0.16% of the population. They´re usually perceived as frightening or annoying. Proposed mechanisms include spontaneous activity triggered by sensory deprivation from hearing impairment, like in visual hallucinations in Charles Bonnet syndrome, and some authors even include MH as a subtype of this syndrome. Indeed, 60% of all patients with MH have hearing impairment or deafness. Other less frequent causes include focal brain lesions involving the auditory pathway and cortex, temporal epilepsy, metabolic or drug intoxication. Psychiatric conditions are uncommon but not impossible, especially in affective disorders. MH most frequently consist in familiar tunes, sometimes of personal significance, religious songs (especially in older patients), childhood songs, folk and popular songs from the radio - suggesting that musical perception is never unlearned but represents a “parasitic memory”, an unchangeable memory feature which can be experienced by relevant neuronal circuit stimulation. Most patients with MH were reported to have no extraordinary musical skills. Conclusions MH are rare and strongly associated with hearing loss, though investigation of other causes should be sought. Treating the underlying cause is important but remission is not guaranteed. Disclosure No significant relationships.
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spelling doaj.art-701b7122d0394d568d8e787c0ace25eb2023-11-17T05:08:18ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S708S70910.1192/j.eurpsy.2022.1826That song in my head: a review on Musical HallucinationsF. Ramalheira0M. Conde Moreno1J. Romão2S. Vieira3Centro hospitalar Psiquiátrico de Lisboa, Serviço De Electroconvulsoterapia, Lisboa, PortugalCentro hospitalar Psiquiátrico de Lisboa, Hospital De Dia, Lisboa, PortugalCentro Hospitalar Universitário Lisboa Norte, Psychiatry, Lisboa, PortugalCentro Hospitalar Psiquiátrico de Lisboa, Psiquiatria Geral, Lisboa, Portugal Introduction Hearing music inside our heads is frequent, however some hear it more vividly, constantly and involuntarily. Musical Hallucinations (MH), first described by Baillarger in 1846, are a complex type of auditory hallucination characterized by perception of melodies, music, or songs. Objectives This work aims to review the literature considering MH. Methods Pubmed and Google Scholar search using MeSH term “musical hallucinations” Results MH occurs in 0.16% of the population. They´re usually perceived as frightening or annoying. Proposed mechanisms include spontaneous activity triggered by sensory deprivation from hearing impairment, like in visual hallucinations in Charles Bonnet syndrome, and some authors even include MH as a subtype of this syndrome. Indeed, 60% of all patients with MH have hearing impairment or deafness. Other less frequent causes include focal brain lesions involving the auditory pathway and cortex, temporal epilepsy, metabolic or drug intoxication. Psychiatric conditions are uncommon but not impossible, especially in affective disorders. MH most frequently consist in familiar tunes, sometimes of personal significance, religious songs (especially in older patients), childhood songs, folk and popular songs from the radio - suggesting that musical perception is never unlearned but represents a “parasitic memory”, an unchangeable memory feature which can be experienced by relevant neuronal circuit stimulation. Most patients with MH were reported to have no extraordinary musical skills. Conclusions MH are rare and strongly associated with hearing loss, though investigation of other causes should be sought. Treating the underlying cause is important but remission is not guaranteed. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822018260/type/journal_articleHallucinationmusicalmusical hallucinationsmusic
spellingShingle F. Ramalheira
M. Conde Moreno
J. Romão
S. Vieira
That song in my head: a review on Musical Hallucinations
European Psychiatry
Hallucination
musical
musical hallucinations
music
title That song in my head: a review on Musical Hallucinations
title_full That song in my head: a review on Musical Hallucinations
title_fullStr That song in my head: a review on Musical Hallucinations
title_full_unstemmed That song in my head: a review on Musical Hallucinations
title_short That song in my head: a review on Musical Hallucinations
title_sort that song in my head a review on musical hallucinations
topic Hallucination
musical
musical hallucinations
music
url https://www.cambridge.org/core/product/identifier/S0924933822018260/type/journal_article
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