The past decade has been characterized by resurgence of interest in neuropathology and in the anatomical substrates of psychopathology. Newly developed research methods have demonstrated abnormalities of regional brain function in patients with affective or schizophrenic psychosis. Abnormal growth or atrophy of the temporal lobes, most marked in the left hemisphere, may be one focus of auditory hallucinations. The patient was 59-year-old man who showed vivid auditory hallucination and unrealistic thinking with soliloquy, and also marked atrophy of temporal lobes in the left hemisphere detected in Computerized Tomography(CT) and Magnetic Resonance Image (M R l). For the treatment of this patient medication of haloperidol and carbamazepine had been tried and was successful. The authors reported an organic hellucinosis patient with marked atrophy of temporal lobes in left hemisphere with literature review.
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