Background. Musical @entity1833 occur in individuals with and without @entity1032 , and many @entity1 tend to have intact reality testing. Although literature on musical @entity1833 is limited, they have been associated with @entity393 , adverse effects of pharmacological agents, female gender, advances in age and @entity146 . Aim. To present the psychiatric management of a case of an old female @entity1 , who suddenly developed @entity1833 with a pervasive impact on her daily activities. Method. Female, 71 years old, developed @entity1833 6 months before that have intensified later. She was known with @entity1621 starting with the age of 45, and magnetic resonance imaging performed 1 year before proved multiple lacunar @entity1188 . Because of the persistence, most of the time of these @entity2167 , the @entity1 experienced pervasive difficulties with her major areas of activities. She was referred to a psychiatric department for evaluation and treatment. Results. The psychiatric consult revealed neither a depressive relapse, nor a mild @entity73 , and @entity3119 was suspected with intrusive obsessions. @entity1 received, as antiobsessional augmentation @entity837 10mg/ day, an atypical antipsychotic, @entity1090 , which at 3 mg/ day induced @entity21 and @entity73 . Therefore, the dose of @entity1090 was reduced, @entity21 disappeared, and 300mg/ day of acidum valproicum was initiated. Discussion. Our @entity1 presented with diminished sensory input to the auditory cortex, and it was hard to make a differential diagnosis between an organic and a mental etiology. Conclusion. The integration of musical @entity1833 into a @entity146 may be a difficult task, and, their treatment represents a challenge.

Musical XXXX - a challenge for psychiatric therapeutical management. Case report.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity3119 :: ('MESH:D009771', 'Disease') :: ['obsessive-compulsive disorder'] @entity2167 :: ('MESH:D006311', 'Disease') :: ['auditory hallucinations'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric illness', 'psychiatric disorder'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity1833 :: ('MESH:D006212', 'Disease') :: ['verbal and musical hallucinations', 'hallucinations'] @entity837 :: ('MESH:D015283', 'Chemical') :: ['escitalopram'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarcts'] @entity21 :: ('MESH:D001480', 'Disease') :: ['extrapyramidal symptoms'] @entity393 :: ('MESH:D034381', 'Disease') :: ['hearing abnormalities'] @entity1621 :: ('MESH:C563492', 'Disease') :: ['bilateral hypoacusia'] @entity1090 :: ('MESH:D018967', 'Chemical') :: ['risperidone']
@entity1833 :: (MESH:D006212,Disease) :: ['hallucinations']
