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Auditory musical hallucinations associated with extended-release pramipexole in an elderly patient with Parkinson's disease



Auditory musical hallucinations associated with extended-release pramipexole in an elderly patient with Parkinson's disease



Medicine 93(27): E251



Auditory musical hallucinations (AMHs) are rare complex auditory hallucinations in Parkinson's disease (PD) that have been limited previously. The characteristics of AMHs in PD remain uncertain. We describe a 72-year-old woman with PD who presented with AMHs. The AMHs occurred after immediate-release pramipexole was switched to extended-release pramipexole. The AMHs were a quiet piano or often songs on a loud radio or background music over other sounds. The music was unpleasant, but not objectionable, threatening, or ego-syntonic, and it did not interrupt her daily activities. AMHs in PD were non-threatening, and dopaminergic treatment may predispose patients to AMHs or be a unique possible cause of AMHs. The hallucinations can occur after immediate-release pramipexole was switched to extended-release pramipexole.

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Accession: 057267596

Download citation: RISBibTeXText

PMID: 25501095

DOI: 10.1097/md.0000000000000251


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