Musical Hallucinations in a Patient with Presbycusis: a Case Report
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Neurology® Clinical Practice The evaluation of a patient with dizziness Kevin A. Kerber, MD Robert W. Baloh, MD Summary Dizziness is the quintessential symptom presenta- tion in all of clinical medicine. It can stem from a disturbance in nearly any system of the body. Pa- tient descriptions of the symptom are often vague and inconsistent, so careful probing is essential. The physical examination is performed by observ- ing the patient at rest and following simple move- ments or bedside tests. In general, no special tools are required. The causes of dizziness range from benign to life-threatening disorders, and features that distinguish among these may be subtle. When diagnostic testing is considered, parsimony should be the rule. Identifying common peripheral vestibu- lar disorders is a priority. Picking this “low hanging fruit” can be the key component to excluding more serious central causes of dizziness. eurologists play an important role in the evaluation and management of pa- tients with dizziness. The possibility of a serious neurologic disorder is un- Nnerving to front-line physicians who have ranked decision support for identifying central causes of vertigo as a top priority.1 Although dangerous cen- tral disorders do not commonly present as isolated dizziness, stroke and other neurologic disorders can occur in this manner. The history and physical examination are the critical elements in determining the management of these patients. In this article, we review the approach to the evaluation and management of patients with dizziness. History The first step in assessing a patient presenting with dizziness is to define the symptom (table 1). -
Vertebral Artery Dissection Presenting As Transient Global Amnesia: a Case Report and Review of Literature
Dementia and Neurocognitive Disorders 2014; 13: 46-49 CASE REPORT http://dx.doi.org/10.12779/dnd.2014.13.2.46 Vertebral Artery Dissection Presenting as Transient Global Amnesia: A Case Report and Review of Literature , Yeonsil Moon*, Seol-Heui Han* † Vertebral artery dissection is one of the most common causes of stroke in young adults. The course of the vertebral artery dissection is usually benign, and pure transient amnesia as an initial symptom has Department of Neurology*, Konkuk University Medical Center, Seoul; Center for Geriatric been rarely reported. We describe a patient with vertebral artery dissection who presented with acute Neuroscience Research, Institute of transient amnesia, and review the medical literatures about the pathophysiological mechanism of tran- Biomedical Science†, Konkuk University, sient global amenesia (TGA). This case could be a one of evidence which supports the cerebrovascular Seoul, Korea mechanism of TGA. Received: May 19, 2014 Revision received: June 26, 2014 Accepted: June 26, 2014 Address for correspondence Seol-Heui Han, M.D. Department of Neurology, Konkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 143-729, Korea Tel: +82-2-2030-7561 Fax: +82-2-2030-7469 E-mail: [email protected] Key Words: Transient global amnesia, Vertebral artery dissection, Cerebrovascular Vertebral artery dissection is one of the most common longed cognitive decline and review the medical literatures causes of stroke in young adults [1]. The course of the verte- about the pathophysiological mechanism of transient global bral artery dissection is usually benign, but seldom reaches to amenesia (TGA). severe complication, such as brainstem infarction, subarach- noid hemorrhage (SAH) or death [2]. -
Second Edition
COVID-19 Evidence Update COVID-19 Update from SAHMRI, Health Translation SA and the Commission on Excellence and Innovation in Health Updated 4 May 2020 – 2nd Edition “What is the prevalence, positive predictive value, negative predictive value, sensitivity and specificity of anosmia in the diagnosis of COVID-19?” Executive Summary There is widespread reporting of a potential link between anosmia (loss of smell) and ageusia (loss of taste) and SARS-COV-2 infection, as an early sign and with sudden onset predominantly without nasal obstruction. There are calls for anosmia and ageusia to be recognised as symptoms for COVID-19. Since the 1st edition of this briefing (25 March 2020), there has been a significant expansion of literature on this topic, including 3 systematic reviews. Predictive value: The reported prevalence of anosmia/hyposmia and ageusia/hypogeusia in SARS-COV-2 positive patients are in the order of 36-68% and 33-71% respectively. There are reports of anosmia as the first symptom in some patients. Estimates from one study for hyposmia and hypogeusia: • Positive likelihood ratios: 4.5 and 5.8 • Sensitivity: 46% and 62% • Specificity: 90% and 89% The US Centres for Disease Control and Prevention (CDC) has added new loss or taste or smell to its list of recognised symptoms for SARS-COV-2 infection. To date, the World Health Organization has not. Conclusion: There is sufficient evidence to warrant adding loss of taste and smell to the list of symptoms for COVID-19 and promoting this information to the public. Context • Early detection of COVID-19 is key to the ongoing management of the pandemic. -
COVID-19 Vaccines: Update on Allergic Reactions, Contraindications, and Precautions
Centers for Disease Control and Prevention Center for Preparedness and Response COVID-19 Vaccines: Update on Allergic Reactions, Contraindications, and Precautions Clinician Outreach and Communication Activity (COCA) Webinar Wednesday, December 30, 2020 Continuing Education Continuing education will not be offered for this COCA Call. To Ask a Question ▪ All participants joining us today are in listen-only mode. ▪ Using the Webinar System – Click the “Q&A” button. – Type your question in the “Q&A” box. – Submit your question. ▪ The video recording of this COCA Call will be posted at https://emergency.cdc.gov/coca/calls/2020/callinfo_123020.asp and available to view on-demand a few hours after the call ends. ▪ If you are a patient, please refer your questions to your healthcare provider. ▪ For media questions, please contact CDC Media Relations at 404-639-3286, or send an email to [email protected]. Centers for Disease Control and Prevention Center for Preparedness and Response Today’s First Presenter Tom Shimabukuro, MD, MPH, MBA CAPT, U.S. Public Health Service Vaccine Safety Team Lead COVID-19 Response Centers for Disease Control and Prevention Centers for Disease Control and Prevention Center for Preparedness and Response Today’s Second Presenter Sarah Mbaeyi, MD, MPH CDR, U.S. Public Health Service Clinical Guidelines Team COVID-19 Response Centers for Disease Control and Prevention National Center for Immunization & Respiratory Diseases Anaphylaxis following mRNA COVID-19 vaccination Tom Shimabukuro, MD, MPH, MBA CDC COVID-19 Vaccine -
Dizziness Related to Anxiety and Stress
Dizziness Related to Anxiety and Stress Author: Laura O. Morris, PT, NCS Fact Sheet Why does anxiety and stress cause me to be dizzy? Dizziness is a common symptom of anxiety stress and, and If one is experiencing anxiety, dizziness can result. On the other hand, dizziness can be anxiety producing. The vestibular system is responsible for sensing body position and movement in our surroundings. The vestibular system is made up of an inner ear on each side, specific areas of the brain, and the nerves that connect them. This system is responsible for the sense of dizziness when things go wrong. Scientists believe that the areas in the brain responsible for dizziness interact with the areas responsible for anxiety, and cause both symptoms. Produced by The dizziness that accompanies anxiety is often described as a sense of lightheadedness or wooziness. There may be a feeling of motion or spinning inside rather than in the environment. Sometimes there is a sense of swaying even though you are standing still. Environments like grocery stores, crowded malls or wide-open spaces may cause a sense of imbalance and disequilibrium. These symptoms are caused by legitimate physiologic changes within the brain. A Special Interest Group of If there is an abnormality in the vestibular system, the symptom of dizziness can be the result. If one already has a tendency toward anxiety, dizziness from the vestibular system and anxiety can interact, making symptoms worse. Often the anxiety and the dizziness must be treated together in order for improvement to be made. How does physical therapy help? Contact us: ANPT Scientists are starting to better understand how dizziness and 5841 Cedar Lake Rd S. -
MATTERS and Sound
Letters to the Editor 833 1 Kennedy WR, Alter M, Sung JH. Progressive seemed in the first days to originate exter- The inhibition was revealed in our studies proximal spinal and bulbar muscular atro- phy of late onset: a sex-linked recessive trait. nally and was heard bilaterally. The melody during a period of voluntary contraction by J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.56.7.833 on 1 July 1993. Downloaded from Neurology 1968;18:671-80. she heard was extremely loud, leading her stimulating the motor cortex at a strength 2 Harding AE, Thomas PK, Baraister M, to ask surrounding people to turn off the lower than that required to produce excita- Bradbury PG, Morgan-Hughes JA, radio, which she believed to be the source tion under the same conditions. A recent Ponsford JR. X-linked recessive bulbospinal neuronopathy: a report of ten cases. J Neurol of the tune. The music began suddenly, was study has reported that the discharge of Neurosurg Psychiatty 1982;45: 1012-19. slow, clear and reminiscent of popular motor neurons in the first dorsal interosseus 3 Mukai E, Mitsuma T, Takahashi A, Sobue I. songs that she had heard in her youth, but muscle of the hand of a patient with multi- Endocrinological study of hypogonadism and feminization in patients with bulbar were still unknown to her. She was able to ple sclerosis could be suppressed by tran- spinal muscular atrophy. Clin Neurol sing this melody. Shortly after the onset of scranial magnetic stimulation of the motor (Tokyo) 1984;24:925-9. -
Practitioner's Guide to the Dizzy Patient
PRACTITIONER’S GUIDE TO THE DIZZY PATIENT Alan L. Desmond, AuD Wake Forest Baptist Health Otolaryngology ABOUT THE PRACTITIONER’S GUIDE TO THE DIZZY PATIENT The information in this guide has been reviewed for accuracy by specialists in Audiology, Otolaryngology, Neurology, Physical Therapy and Emergency Medicine ABOUT THE AUTHOR Alan L. Desmond, AuD, is the director of the Balance Disorders Program at Wake Forest Baptist Medical Center and a faculty member of Wake Forest School of Medicine. He is the author of Vestibular Function: Evaluation and Treatment (Thieme, 2004), and Vestibular Function: Clinical and Practice Management (Thieme, 2011). He is a co-author of Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo. He serves as a representative of the American Academy of Audiology at the American Medical Association and received the Academy Presidents Award in 2015 for contributions to the profession. He also serves on several advisory boards and has presented numerous articles and lectures related to vestibular disorders. HOW TO MAKE AN APPOINTMENT WITH THE WAKE FOREST BAPTIST HEALTH BALANCE DISORDERS TEAM Physician referrals can be made through the STAR line at 336-713-STAR (7827). PRACTITIONER’S GUIDE TO THE DIZZY PATIENT TABLE OF CONTENTS How to Use the Practitioner’s Guide to the Dizzy Patient . 2 Typical Complaints of Various Vestibular and non-Vestibular Disorders . 3 Structure and Function of the Vestibular System . 4 Categorizing the Dizzy Patient . 5 Timing and Triggers of Common Disorders . 6 Initial Examination Checklist for Acute Vertigo: Peripheral versus Central . 7 Diagnosing Acute Vertigo . 8 Fall Risk Questionnaire . 10 Physician’s Guide to Fall Risk Questionnaire . -
POSTER PRESENTATIONS POSTER SESSION 1 – Monday 15Th
XVI WORLD CONGRESS OF PSYCHIATRY “FOCUSING ON ACCESS, QUALITY AND HUMANE CARE” MADRID, SPAIN | September 14-18, 2014 POSTER PRESENTATIONS POSTER SESSION 1 – Monday 15th ADHD: ________________________________________________________________________________________________ 1 – 109 Addiction: _________________________________________________________________________________________ 110 – 275 Anxiety, Stress and Adjustment Disorders: _________________________________________ 276 – 368 Art and Psychiatry: ___________________________________________________________________________ 369 – 384 Biological Psychiatry and Neuroscience: ____________________________________________ 385 – 443 Brain and Pain: _________________________________________________________________________________ 444 – 449 Child and Adolescent Mental and Behavioral Disorders: ______________________ 450 – 603 Conflict Management and Resolution: _______________________________________________ 604 – 606 Dementia, Delirium and Related Cognitive Disorders: _________________________ 607 – 674 Diagnostic Systems: _________________________________________________________________________ 675 – 683 Disasters and Emergencies in Psychiatry: __________________________________________ 684 – 690 Dissociative, Somatization and Factitious Disorders: __________________________ 691 – 710 Eating Disorders: ______________________________________________________________________________ 711 – 759 Ecology, Psychiatry and Mental Health: ______________________________________________ 760 – 762 Epidemiology -
Neuropsychiatric Manifestations of COVID-19 Can Be Clustered in Three
www.nature.com/scientificreports OPEN Neuropsychiatric manifestations of COVID‑19 can be clustered in three distinct symptom categories Fatemeh Sadat Mirfazeli1,8, Atiye Sarabi‑Jamab2,8, Amin Jahanbakhshi3, Alireza Kordi4, Parisa Javadnia4, Seyed Vahid Shariat1, Oldooz Aloosh5, Mostafa Almasi‑Dooghaee6 & Seyed Hamid Reza Faiz7* Several studies have reported clinical manifestations of the new coronavirus disease. However, few studies have systematically evaluated the neuropsychiatric complications of COVID‑19. We reviewed the medical records of 201 patients with confrmed COVID‑19 (52 outpatients and 149 inpatients) that were treated in a large referral center in Tehran, Iran from March 2019 to May 2020. We used clustering approach to categorize clinical symptoms. One hundred and ffty‑one patients showed at least one neuropsychiatric symptom. Limb force reductions, headache followed by anosmia, hypogeusia were among the most common neuropsychiatric symptoms in COVID‑19 patients. Hierarchical clustering analysis showed that neuropsychiatric symptoms group together in three distinct groups: anosmia and hypogeusia; dizziness, headache, and limb force reduction; photophobia, mental state change, hallucination, vision and speech problem, seizure, stroke, and balance disturbance. Three non‑ neuropsychiatric cluster of symptoms included diarrhea and nausea; cough and dyspnea; and fever and weakness. Neuropsychiatric presentations are very prevalent and heterogeneous in patients with coronavirus 2 infection and these heterogeneous presentations may be originating from diferent underlying mechanisms. Anosmia and hypogeusia seem to be distinct from more general constitutional‑like and more specifc neuropsychiatric symptoms. Skeletal muscular manifestations might be a constitutional or a neuropsychiatric symptom. In December 2019 a number of severe acute respiratory syndrome (SARS) were reported in Wuhan, China that became eventually a pandemic infection with over 8 million reported cases until June 2020 1. -
Musical Hallucinations in Schizophrenia
Mental Illness 2015; volume 7:6065 Musical hallucinations in reported having musical hallucinations.4 Notably the musical hallucinations tended to Correspondence: Robert G. Bota, UC Irvine schizophrenia be sudden in onset, familiar, and mixed instru- Health Neuropsychiatric Center, 101 The City mental and vocal, with most patients having a Drive South, Orange, CA 92868, USA. Jessica Galant-Swafford, Robert Bota soothing affective response to the music Tel.:+1.714.456.2056. Department of Psychiatry, University of (62%). Interestingly, when the musical halluci- E-mail: [email protected] California, Irvine, CA, USA nations had more religious content, the patients claimed to have less volitional control Received for publication: 8 June 2015. Accepted for publication: 8 June 2015. Musical hallucinations (MH) are complex over them. This suggests that the presence or phenomena that are associated with hearing absence of religious content in the musical This work is licensed under a Creative Commons loss, brain disease (glioma, epilepsy, cere- hallucination may be useful for differentiating Attribution NonCommercial 3.0 License (CC BY- brovascular disease, encephalitis), and psychi- between musical imagery and musical halluci- NC 3.0). atric disorders such as major depressive disor- nations. ©Copyright J. Galant-Swafford and R. Bota, 2015 der, bipolar disease, and schizophrenia. MH Baba and Hamada suggest that musical hal- lucinations in patients with schizophrenia are Licensee PAGEPress, Italy are also commonly seen in people without Mental Illness 2015; 7:6065 phenomena that originate as memory repre- otorhinolaryngological, neurological, or mental doi:10.4081/mi.2015.6065 illness pathology.1 sentations or pseudo-hallucinations akin to In his novel Musicophilia, Oliver Sacks evoked musical imagery, which transition into true hallucinations during the progression of writes that his patients with musical halluci- cal content that were obsessive-compulsive in the disease. -
Musical Hallucinations, Musical Imagery, and Earworms: a New Phenomenological Survey
Consciousness and Cognition 65 (2018) 83–94 Contents lists available at ScienceDirect Consciousness and Cognition journal homepage: www.elsevier.com/locate/concog Musical hallucinations, musical imagery, and earworms: A new phenomenological survey T ⁎ Peter Moseleya,b, , Ben Alderson-Daya, Sukhbinder Kumarc, Charles Fernyhougha a Psychology Department, Durham University, South Road, Durham DH1 3LE, United Kingdom b School of Psychology, University of Central Lancashire, Marsh Lane, Preston PR1 2HE, United Kingdom c Institute of Neuroscience, Newcastle University, Newcastle NE1 7RU, United Kingdom ARTICLE INFO ABSTRACT Keywords: Musical hallucinations (MH) account for a significant proportion of auditory hallucinations, but Auditory hallucinations there is a relative lack of research into their phenomenology. In contrast, much research has Musical hallucinations focused on other forms of internally generated musical experience, such as earworms (in- Earworms voluntary and repetitive inner music), showing that they can vary in perceived control, repeti- Mental imagery tiveness, and in their effect on mood. We conducted a large online survey (N = 270), including Phenomenology 44 participants with MH, asking participants to rate imagery, earworms, or MH on several variables. MH were reported as occurring less frequently, with less controllability, less lyrical content, and lower familiarity, than other forms of inner music. MH were also less likely to be reported by participants with higher levels of musical expertise. The findings are outlined in relation to other forms of hallucinatory experience and inner music, and their implications for psychological models of hallucinations discussed. 1. Introduction Auditory hallucinations (AH) are defined as the conscious experience of sounds that occur in the absence of any actual sensory input. -
Aubinet-The-Craft-Of-Yoiking-Revised
Title page 1 The Craft of Yoiking Title page 2 The Craft of Yoiking Philosophical Variations on Sámi Chants Stéphane Aubinet PhD thesis Department of Musicology University of Oslo 2020 Table of contents Abstract vii Sammendrag ix Acknowledgements xi Abbreviations xv Introduction 1 The Sámi 2 | The yoik 11 [Sonic pictures 17; Creation and apprenticeship 22; Musical structure 25; Vocal technique 29; Modern yoiks 34 ] | Theoretical landscape 39 [Social anthropology 46; Musicology 52; Philosophy 59 ] | Strategies of attention 64 [Getting acquainted 68; Conversations 71; Yoik courses 76; Consultations 81; Authority 88 ] | Variations 94 1st variation: Horizon 101 On the risks of metamorphosis in various practices Along the horizon 103 | Beyond the horizon 114 | Modern horizons 121 | Antlered ideas 125 2nd variation: Enchantment 129 On how animals and the wind (might) engage in yoiking Yoiks to non-humans 131 | The bear and the elk 136 | Enchantment and belief 141 | Yoiks from non-humans 147 | The blowing of the wind 152 | A thousand colours in the land 160 3rd variation: Creature 169 On the yoik’s creative and semiotic processes Painting with sounds 171 | The creation of new yoiks 180 | Listening as an outsider 193 | Creaturely semiosis 200 | The apostle and the genius 207 vi The Craft of Yoiking 4th variation: Depth 213 On the world inside humans and its animation Animal depths 214 | Modal depths 222 | Spiritual depths 227 | Breathed depths 231 | Appetition 236 | Modern depths 241 | Literate depths 248 5th variation: Echo 251 On temporality