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Musikogene Epilepsie

Musicogenic Epilepsy

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Zusammenfassung

Musikogene Epilepsien gehören zu den Reflexepilepsien und sind bislang nur wenig untersucht worden. Nach einer historischen Einleitung werden in dieser Übersicht ein Fallbericht, die typischen klinischen Muster und die bisherigen pathophysiologischen Ergebnisse präsentiert. Insbesondere rechtshemisphärische Läsionen sind demnach in der Lage, vor allem bei Menschen mit einer musikalischen Vorbildung musikogene epileptische Anfälle zu verursachen. Die Behandlung der musikogenen Epilepsie unterscheidet sich nicht von der allgemeinen Behandlung der Epilepsien. Andere epileptologische Zusammenhänge von Musik und epileptischen Anfällen sind (i) Auslösung von Anfällen durch Musizieren, (ii) iktale Ereignisse in Form von Singen und (iii) kontinuierliche musikalische Halluzinationen als epileptische Aura.

Abstract

Musicogenic epilepsies are reflex epilepsies and have been studied only rarely. After a historical introduction, this review presents a case report, typical clinical features and the known pathophysiology. In particular, right sided hemispheric lesions are able to cause musicogenic epilepsies, especially in people with musical education and knowledge. The treatment of musicogenic epilepsies does not differ from the treatment of other types of epilepsy. Other epileptological links between music and epileptic seizures are (i) seizure induced by playing music, (ii) ictal singing and (iii) continuous musical hallucinations as epileptic aura.

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Correspondence to Stefan Evers.

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Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Evers, S. Musikogene Epilepsie. Z. Epileptol. 29, 2–6 (2016). https://doi.org/10.1007/s10309-015-0026-1

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