Pure Verbal Autopalinacousis

Abstract Introduction Palinacousis, the phenomenon in which sounds are internally perseverated or repeated has not heretofore been reported occurring exclusively to an individual’s own voice. Methods A 52-year-old woman started experience auditory hallucinations of her voice at 3 years old when she began talking out loud. The voice, yclept autopalinacousis, consisting one three words, were affectively neutral, rarely disruptive, and unchanged by psychiatric medications. During these palinacoustic phenomena, would hear last few words had spoken loud repeat inside head both ears. When autopalinacousis occurred, just once. Sound quality was exact replication how it originally spoken. She only experienced palinacousis never any other sounds. For occur, verbally state enough for hear. If spoke but could via occlusion external canal presence noise, internal repetition occur. However, after stimulus sensed, nothing reduce palinacousis. occur if read loud, silently. frequency ranged from a times week several day associated with reduced sleep, unaffected mood, medications, headaches. Five months prior hospitalization, paranoid delusions, decreased increased activity, rapid speech, male two female voices. In contrast consisted full phrases sentences, charged, intrusive, diminished No occurred hallucinated Results Abnormalities: Mental Status Examination: Speech: pressured. Oriented x2. Memory: ability remember 5 digits forwards 2 backwards. is able spell word “world.” Calculation ability: poor. MRI brain without contrast: normal. Discussion cases where patients psychotic illness palinacousis, always appear already manifested, anywhere less than year 15 later. Our patient’s presented almost decades before onset delusions. Furthermore, those who present hallucinations, query as characteristics warranted. Funding