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Voices behind the left shoulder: Two patients with right-sided temporal lobe epilepsy

Auditory vocal hallucinations are sometimes observed in temporal-lobe epilepsy, but are a frequent sign of psychosis and may rarely be mistaken for the latter. Here we report two patients who suffered from auditory vocal hallucinations, described as unintelligible human voices perceived at their lef...

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Hauptverfasser: Hug, Andreas (VerfasserIn) , Bartsch, Andreas (VerfasserIn) , Gutschalk, Alexander (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 6 April 2011
In: Journal of the neurological sciences
Year: 2011, Jahrgang: 305, Heft: 1, Pages: 143-146
ISSN:1878-5883
DOI:10.1016/j.jns.2011.03.029
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jns.2011.03.029
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0022510X11001596
Volltext
Verfasserangaben:Andreas Hug, Andreas Bartsch, Alexander Gutschalk

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520 |a Auditory vocal hallucinations are sometimes observed in temporal-lobe epilepsy, but are a frequent sign of psychosis and may rarely be mistaken for the latter. Here we report two patients who suffered from auditory vocal hallucinations, described as unintelligible human voices perceived at their left side during epileptic seizures. MEG revealed interictal epileptic discharges within the anterior partition of the right superior temporal gyrus; signal-to-noise ratio of these discharges was overall poor in EEG. The findings suggest that auditory vocal hallucinations without verbal content can evolve in the right hemisphere and are probably independent of language lateralization. This is in accordance with evidence from functional imaging, whereas most previous reports of seizures with auditory vocal hallucinations were confined to the left hemisphere. 
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