Obsessive musical hallucinations in a schizophrenia patient: psychopathological and FMRI characteristics.
Maya Bleich‐Cohen, Talma Hendler, Artashes Pashinian, Sarit Faragian, Michael Poyurovsky
CNS Spectrums July 2011 DOI: 10.1017/s1092852912000326 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Case study Case report Peer reviewed |
|---|---|
| Sample size | 1 |
| Population | A single schizophrenia patient with auditory musical hallucinations obsessive in form |
| Key findings | Argues that "obsessive musical hallucinations" integrate psychotic and OCD-related features and may be mediated by brain networks believed to be involved in OCD and in auditory musical hallucinations. The authors suggest such phenomena, psychotic in content and obsessive in form, are diagnostically challenging and may indicate a schizo-obsessive subgroup of schizophrenia. |
Abstract
Obsessive-compulsive symptoms (OCS) are relatively common and clinically significant phenomena in schizophrenia patients, suggesting the existence of a separate schizo-obsessive subgroup of the disorder. Although a majority of schizo-obsessive patients have typical ego-dystonic OCS, a meaningful proportion exhibits diagnostically challenging psychopathological phenomena, psychotic in content and obsessive in form. We report the clinical and functional magnetic resonance imaging characteristics of a schizophrenia patient who developed auditory hallucinations with musical content and obsessive in form. We suggest that "obsessive musical hallucinations", that integrate both psychotic and obsessive-compulsive disorder (OCD)-related features, may be mediated by the brain networks believed to be involved in OCD and in auditory musical hallucinations.