PA.15 Chronic auditory hallucinosis and paranoid psychosis in a man with a history of right temporal lobe lesion and alcohol abuse
In 2004 a 50-year-old man was referred to the psychiatric service with adjustment problems and mild anxiety. He also complained of forgetfulness, but no objective memory deficit could be identified on this occasion. In 2006 the patient was re-referred with distressing auditory hallucinations, experienced inside his head in second and third person, and frightening persecutory ideas. He also complained of deteriorating memory functions. There was evidence of excessive use of alcohol, probably going back for several years. According to his medical records, the patient sustained a head injury 6 years previously, leading to a right fronto-temporal subdural haematoma and right temporal lobe contusion. A dementing illness was suspected, and, in 2009, the patient was referred to clinical neurology and neuropsychiatry, for further investigation.