Can Auditory Hallucinations Cause Involuntary Head Shaking Symptoms?

Can auditory hallucinations cause involuntary head shaking?

Hello, Dr.
Su.
I apologize for taking up your time, but I couldn't find any information online and would like to ask you a few questions.
In December and January, there was mild dizziness occurring about once every five days.
On February 12, she experienced mild auditory hallucinations.
Recently, I noticed that she shakes her head vigorously from side to side for about three minutes when she cries, and her mouth tilts.
When she closes her eyes to sleep (just after closing them), her eyes roll around.
Currently, she has not taken any Western medication and has never used drugs.
She is experiencing worsening headaches, dizziness, and palpitations, occurring about six times a day.
She has previously suffered a severe head injury and has been undergoing long-term adjustments for her cervical spine.
Could the involuntary movements of head shaking, mouth tilting, and eye rolling be related to the symptoms of auditory hallucinations? Is there any medical history of cervical spine compression affecting nerves or blood vessels that could cause auditory hallucinations? Thank you, doctor.

Howard, 30~39 year old female. Ask Date: 2011/03/10

Dr. Su Zongwei reply Psychiatry

There is a condition called manneristic behavior, which is associated with auditory hallucinations.
However, it is difficult to define.
In her case, it is important to first consider any underlying medical issues before determining whether it is a psychiatric symptom.
It would be advisable to consult both psychiatry and neurology.
Additionally, cervical spine compression does not typically cause auditory hallucinations.

Reply Date: 2011/03/10

More Info

Auditory hallucinations, which are perceptions of sound without an external source, can indeed be linked to various neurological and psychological conditions. The symptoms you describe, including involuntary head shaking, facial asymmetry (such as the mouth drooping), and eye movements, suggest a complex interplay of neurological factors that may be at play in your case.

Firstly, it is important to understand that auditory hallucinations can arise from a variety of causes, including psychiatric disorders (like schizophrenia), neurological conditions (such as epilepsy or brain tumors), or even substance use. In your case, since you mentioned no history of drug use or psychiatric treatment, we should consider other potential neurological explanations.

The involuntary head shaking and facial drooping you describe could be indicative of a movement disorder. Conditions such as dystonia or myoclonus can lead to involuntary movements, which may occur alongside auditory hallucinations. Dystonia is characterized by sustained muscle contractions, abnormal postures, or repetitive movements, while myoclonus involves sudden, brief jerks of a muscle or group of muscles. Both conditions can be secondary to neurological issues, including those affecting the basal ganglia, which play a crucial role in movement control.

Regarding your concern about cervical spine issues, it is indeed possible for cervical spine problems, such as herniated discs or degenerative changes, to affect nearby nerves and blood vessels. This can lead to neurological symptoms, including dizziness, headaches, and potentially even auditory hallucinations if the brain's blood supply is compromised or if there is irritation of the cranial nerves. However, direct causation between cervical spine issues and auditory hallucinations is less common and would typically require a more complex interplay of factors.

The history of severe head trauma you mentioned is also significant. Traumatic brain injury (TBI) can lead to a range of neurological symptoms, including changes in auditory perception, headaches, dizziness, and movement disorders. Post-concussion syndrome, which can occur after a TBI, may present with persistent headaches, dizziness, and cognitive changes, including auditory disturbances.

Given the complexity of your symptoms, it is crucial to seek a comprehensive evaluation from a neurologist. They may recommend imaging studies, such as an MRI of the brain and cervical spine, to assess for any structural abnormalities. Additionally, a thorough neurological examination can help identify any movement disorders or other neurological conditions that may be contributing to your symptoms.

In summary, while auditory hallucinations can be associated with various neurological conditions, the involuntary head shaking and facial asymmetry you describe warrant further investigation. It is essential to consult with a healthcare professional who can provide a thorough assessment and appropriate management based on your specific symptoms and medical history. Early intervention can be key in addressing any underlying issues and improving your overall quality of life.

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