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Behavior, Cognition and Neuroscience
Volume 16, 2010 - Issue 1
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Original Articles

Evaluation of regional cerebral blood flow in a patient with musical hallucinations

Masaru Shoyama Department of Neuropsychiatry, Wakayama Medical University, Wakayama, JapanCorrespondence[email protected]
,
Satoshi Ukai Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
,
Yuji Kitabata Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
,
Masahiro Yamamoto Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
,
Masatoshi Okumura Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
,
Asami Kose Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
,
Tomikimi Tsuji Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
&
Kazuhiro Shinosaki Department of Neuropsychiatry, Wakayama Medical University, Wakayama, Japan
 show all
Pages 1-6 | Received 21 Aug 2008, Accepted 14 May 2009, Published online: 03 Feb 2010
 
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Abstract

A 52-year-old woman with musical hallucinations was examined using brain single photon emission computed tomography (SPECT) with 99mTc-ECD. Changes in regional cerebral blood flow (rCBF) after carbamazepine treatment were assessed using a three-dimensional stereotaxic ROI template. Following treatment, rCBF was decreased in the subcortical structures and increased in the global cortical regions. From our findings, we propose that rCBF values in subcortical structures represent abnormalities similar to those reported in previous reports or other psychiatric disorders, while those in cortical regions suggest background brain dysfunctions that result in generation of musical hallucinations.

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