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Musical hallucination is a rare psychiatric                 symptom. Reported cases have almost always had organic etiology and were seen in the presence of hearing loss. In a typical presentation, elderly people, females, those with             hearing loss and clinical and or investigative findings denoting central organic etiology were seen. A 52 year old female     patient with hearing loss, musical hallucination with left               parietal calcification and EEG changes, diagnosed as  mood disorder with psychotic features and her response to                    treatment is discussed.

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