Palinacousis leading to the diagnosis of temporal lobe seizures in a patient with schizophrenia

Palinacousis is a rarely reported symptom of temporal lobe dysfunction. Especially in psychiatric patients it may be misdiagnosed if it is not differentiated from the auditory hallucinations of psychotic illness. We report the case of a 20-year-old patient with the previously established diagnosis o...

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Bibliographic Details
Published in:Seizure (London, England) England), 2002-04, Vol.11 (3), p.198-200
Main Authors: Prueter, Christian, Waberski, Till D., Norra, Christine, Podoll, Klaus
Format: Article
Language:English
Subjects:
Adult
Auditory Perceptual Disorders - diagnosis
Auditory Perceptual Disorders - etiology
Electroencephalography
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - diagnosis
Epilepsy, Temporal Lobe - physiopathology
Female
Humans
palinacousis
schizophrenia
Schizophrenia - complications
Schizophrenia - physiopathology
Schizophrenic Psychology
seizure activity
temporal lobe seizures
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Description
Summary:Palinacousis is a rarely reported symptom of temporal lobe dysfunction. Especially in psychiatric patients it may be misdiagnosed if it is not differentiated from the auditory hallucinations of psychotic illness. We report the case of a 20-year-old patient with the previously established diagnosis of paranoid schizophrenia who presented with the symptom of palinacousis. She was not psychotic at that time, her only complaints being recurrent auditory sensations. Repeated EEG recordings showed a left temporal theta focus with spikes. The diagnosis of temporal lobe seizures was made. Treatment with carbamazepine led to complete recovery.
ISSN:1059-1311
1532-2688
DOI:10.1053/seiz.2001.0573