Obsessive musical hallucinations in a schizophrenia patient: Psychopathological and fMRI characteristics

Maya Bleich-Cohen, Talma Hendler, Artashes Pashinian, Sarit Faragian, Michael Poyurovsky*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)153-156
Number of pages4
JournalCNS Spectrums
Volume16
Issue number7
DOIs
StatePublished - Jul 2011

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