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Olfactory and Gustatory Hallucinations

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Hallucinations

Abstract

Olfactory hallucinations (OHs) occur in healthy people, as the primary symptom in the condition phantosmia and as a secondary symptom in psychotic disorders, temporal lobe epilepsy, brain injury, and migraine among others. Gustatory hallucinations are rarer, poorly studied, and may co-occur with OHs as flavor hallucinations. OHs may differ across conditions in their time course, varying from brief bursts, reminiscent of normal olfactory experience, to persistent smells lasting hours or days in phantosmia. Notwithstanding, OHs are generally unpleasant and seem to be of real-world smells, there being no obvious parallel to the simple-versus-complex distinction applied to other hallucinations. In terms of cause, OHs may arise from damage to peripheral receptor systems, from damage or activation of central olfactory structures (especially the amygdala due to its involvement in olfactory hedonics), and from psychological causes, with recent evidence suggesting a role for source-monitoring failures in OHs experienced by psychotic individuals.

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References

  • Acharya, V., Acharya, J., Luders, H. (1998). Olfactory epileptic auras. Neurology, 51, 56–61.

    Article  PubMed  CAS  Google Scholar 

  • Arguedes, D., Langdon, R., Stevenson, R.J. Neurocognitive processes associated with olfactory hallucinations in schizophrenia (submitted).

    Google Scholar 

  • Alroe, C.J., McIntyre, J.N.M. (1983). Visual hallucinations: The Charles Bonnet syndrome and bereavement. Medical Journal of Australia, 2, 674–675.

    PubMed  CAS  Google Scholar 

  • Bentall, R., Baker, G., Havers, S. (1991). Reality monitoring and psychotic hallucinations. British Journal of Clinical Psychology, 30, 213–222.

    Article  PubMed  Google Scholar 

  • Brasic, J.R. (1998). Hallucinations. Perceptual and Motor Skills, 86, 851–877.

    Article  PubMed  CAS  Google Scholar 

  • Bromberg, W., Schilder, P. (1934). Olfactory imagination and olfactory hallucinations. Archives of Neurology and Psychiatry, 32, 467–492.

    Article  Google Scholar 

  • Burstein, A. (1987). Olfactory hallucinations. Hospital and Community Psychiatry, 38, 80.

    PubMed  CAS  Google Scholar 

  • Chen, C., Shih, Y., Yen, D., Lirng, J., Guo, Y., Yu, H., Yiu, C. (2003). Olfactory auras in patients with temporal lobe epilepsy. Epilepsia, 44, 257–260.

    Article  PubMed  Google Scholar 

  • Crosley, C.J., Dhamoon, S. (1983). Migrainous olfactory aura in a family. Archives of Neurology, 40, 459.

    Article  PubMed  CAS  Google Scholar 

  • Daly, D. (1958). Uncinate fits. Neurology, 8, 250–260.

    Article  PubMed  CAS  Google Scholar 

  • Diamond, S., Freitag, F.G., Prager, J., Gandi, S. (1985). Olfactory aura and migraine. New England Journal of Medicine, 312, 1390–1391.

    PubMed  CAS  Google Scholar 

  • Donnelly, J., Cain, W., Scott, A. (1989). Parosmia among patients with olfactory complaints. Chemical Senses, 14, 695.

    Google Scholar 

  • Efron, R. (1956). The effect of olfactory stimuli in arresting uncinate fits. Brain, 79, 267–281.

    Article  PubMed  CAS  Google Scholar 

  • Faris, A.A., Terrence, C.F. (1989). Limbic system symptomatology associated with colloid cyst of the third ventricle. Journal of Neurology, 236, 60–61.

    Article  PubMed  CAS  Google Scholar 

  • Frasnelli, J., Landis, B., Heilmann, S., Hauswald, B., Huttenbrink, K., Lacroix, J., Leopold, D., Hummel, T. (2004). Clinical presentation of qualitative olfactory dysfunction. European Archives of Otorhinolaryngology, 261, 411–415.

    Article  PubMed  CAS  Google Scholar 

  • Gloor, P. (1990). Experiential phenomenon of temporal lobe epilepsy. Facts and hypotheses. Brain, 113, 1673–1694.

    Article  PubMed  Google Scholar 

  • Greenberg, M.S. (1995). Olfactory hallucinations. In Science of Olfaction. Edited by M.J. Serby and K. Chobor. New York, NY: Springer, pp. 467–499.

    Google Scholar 

  • Hausser-Hauw, C., Bancaud, J. (1987). Gustatory hallucinations in epileptic seizures. Brain, 110, 339–359.

    Article  PubMed  Google Scholar 

  • Jackson, H., Stewart, P. (1899). Epileptic attacks with a warning of a crude sensation of smell and with the intellectual aura (Dreamy state) in a patient who had symptoms pointing to gross organic disease of the right temporo-sphenoidal lobe. Brain, 22, 534–549.

    Article  Google Scholar 

  • Jablensky, A., Sartorius, N., Ernberg, G., Anker, M., Korten, A., Cooper, J.E., Day, R., Bertelsen, A. (1992). Schizophrenia: Manifestations and incidence and course in different cultures: A world health organization ten country study. Psychological Medicine, 20, 1–97.

    CAS  Google Scholar 

  • Kerekovic, M. (1972). The relationship between objective disorders of smell and olfactory ­hallucinations. Acta Oto-Rhino-Laryngologica Belgica, 26, 518–523.

    PubMed  CAS  Google Scholar 

  • Kopala, L.C., Good, K.P., Honer, W.G. (1994). Olfactory hallucinations and olfactory identification ability in patients with schizophrenia and other psychiatric disorders. Schizophrenia Research, 12, 205–211.

    Article  PubMed  CAS  Google Scholar 

  • Kwapil, T.R., Chapman, J.P., Chapman, L.J., Miller, M.B. (1996). Deviant olfactory experiences as indicators of risk for psychosis. Schizophrenia Bulletin, 22, 371–382.

    Article  PubMed  CAS  Google Scholar 

  • Langdon, R., McGuire, J., Stevenson, R.J., Catts, S.V. (2011). Clinical correlates of olfactory ­hallucinations in schizophrenia. British Journal of Clinical Psychology, 50, 145–163.

    Google Scholar 

  • Leopold, D. (2002). Distortion of olfactory perception: Diagnosis and treatment. Chemical Senses, 27, 611–615.

    Article  PubMed  Google Scholar 

  • Levy, L., Henkin, R. (2004). Brain GABA levels are decreased in patients with phantageusia and phantosmia demonstrated by magnetic resonance spectroscopy. Journal of Computer Assisted Tomography, 28, 721–727.

    Article  PubMed  Google Scholar 

  • Moberg, P.J., Agrin, R., Gur, R.E., Gur, R.C., Turetsky, B.I., Doty, R.L. (1999). Olfactory dysfunction in schizophrenia: A qualitative and quantitative review. Neuropsychopharmacology, 21, 325–340.

    Article  PubMed  CAS  Google Scholar 

  • Nashold, B.S., Wilson, W.P. (1969). Olfactory hallucinations evoked from stimulation of human thalamus. Confinia Neurologica, 32, 298–306.

    Article  Google Scholar 

  • Nesse, R.M., Carli, T., Curtis, G.C., Kleinman, P.D. (1983). Pseudohallucinations in cancer ­chemotherapy patients. American Journal of Psychiatry, 140, 483–485.

    PubMed  CAS  Google Scholar 

  • Ohayon, M.M. (2000). Prevalence of hallucinations and their pathological associations in the ­general population. Psychiatric Research, 97, 153–164.

    Article  CAS  Google Scholar 

  • Penfield, W., Perot, P. (1963). The brain’s record of auditory and visual experience. Brain, 86, 595–696.

    Article  PubMed  CAS  Google Scholar 

  • Phillips, K., Gunderson, C., Gruber, U., Castle, D. (2006). Delusions of body malodour: the olfactory reference syndrome. In Olfaction and the brain. Edited by W. Brewer, D. Castle, and C. Pantelis. Melbourne: Cambridge University Press, pp. 334–353.

    Chapter  Google Scholar 

  • Pryse-Phillips, W. (1971). An olfactory reference syndrome. Acta Psychiatrica Scandinavica, 47, 484–509.

    Article  PubMed  CAS  Google Scholar 

  • Royet, J., Zald, D., Versace, M., Costes, N., Lavenne, F., Koenig, O., Gervais, R. (2000). Emotional responses to pleasant and unpleasant olfactory, visual, and auditory stimuli: a positron emission tomography study. Journal of Neuroscience, 20, 7752–7759.

    PubMed  CAS  Google Scholar 

  • Rozin, P. (1982). “Taste-smell confusions” and the duality of the olfactory sense. Perception & Psychophysics, 31, 397–401.

    Article  CAS  Google Scholar 

  • Rubert, S.L., Hollender, M.H., Mehrhof, E.G. (1961). Olfactory hallucinations. Archives of General Psychiatry, 5, 313–318.

    Article  PubMed  CAS  Google Scholar 

  • Sandyk, R. (1981). Olfactory hallucinations in Parkinson’s disease. South African Medical Journal, 60, 950.

    PubMed  CAS  Google Scholar 

  • Shenton, M., Dickey, C., Frumin, M., McCarley, R. (2001). A review of MRI findings in schizophrenia. Schizophrenia Research, 49, 1–52.

    Article  PubMed  CAS  Google Scholar 

  • Slade, P.D. (1994). Models of hallucination: From theory to practice. In Neuropsychology of schizophrenia. Edited by A. David and J. Cutting. Hove: Psychology Press, pp. 245–253.

    Google Scholar 

  • Sobel, N., Prabhakaran, V., Zhao, Z., Desmond, J.E., Glover, G.H., Sullivan, E.V., Gabrieli, J.E.D. (1998). Sniffing and smelling: Separate subsystems in the human olfactory cortex. Nature, 392, 282–286.

    Article  PubMed  CAS  Google Scholar 

  • Stedman, T.J., Clair, A.L. (1998). Neuropsychological, neurological and symptom correlate of impaired olfactory identification in schizophrenia. Schizophrenia Research, 32, 23–30.

    Article  PubMed  CAS  Google Scholar 

  • Stevenson, R.J. (2009a). Olfactory hallucinations. In Encyclopedia of neuroscience. Edited by M.D. Binder, N. Hirokawa, and U. Windhorst. Berlin: Springer, pp. 2989–2992.

    Chapter  Google Scholar 

  • Stevenson, R.J. (2009b). Phenomenal and access consciousness in olfaction. Consciousness and Cognition, 18, 1004–1017.

    Article  PubMed  Google Scholar 

  • Stevenson, R.J., Case, T.I. (2005). Olfactory imagery: A review. Psychonomic Bulletin & Review, 12, 244–265.

    Article  Google Scholar 

  • Stevenson, R.J., Langdon, R., McGuire, J. (2011). Olfactory hallucinations in schizophrenia and schizoaffective disorder: A phenomenological survey. Psychiatry Research, 185, 321–327.

    Article  Google Scholar 

  • Stevenson, R.J., Langdon, R. Olfactory function in olfactory and auditory-verbal hallucinators with schizophrenia, and normal controls (in press).

    Google Scholar 

  • Smith D., Duncan, H. (1992). Primary olfactory disorders: Anosmia, hyposmia and dysosmia. In Science of olfaction. Edited by M.J. Serby and K. Chobor. New York, NY: Springer, pp. 430–466.

    Google Scholar 

  • Toone, B.K. (1978). Psychomotor seizures, arterio-venous malformation and the olfactory reference syndrome. Acta Psychiatrica Scandinavica, 58, 61–66.

    Article  PubMed  CAS  Google Scholar 

  • Velakoulis, D. (2006). Olfactory hallucinations. In Olfaction and the brain. Edited by W. Brewer, D. Castle, and C. Pantelis. Melbourne: Cambridge University Press, pp. 322–333.

    Chapter  Google Scholar 

  • West, S.E., Doty, R.L. (1995). Influence of epilepsy and temporal lobe resection on olfactory ­function. Epilepsia, 36, 531–542.

    Article  PubMed  CAS  Google Scholar 

  • Wilson, D., Stevenson, R.J. (2006) Learning to smell: Olfactory perception from neurobiology to behavior. Baltimore, MA: Johns Hopkins University Press.

    Google Scholar 

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Correspondence to Richard J. Stevenson D.Phil .

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Stevenson, R.J., Langdon, R. (2012). Olfactory and Gustatory Hallucinations. In: Blom, J., Sommer, I. (eds) Hallucinations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0959-5_12

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