What Is Musical Ear Syndrome? Explore The Causes And Treatments


Musical ear syndrome, also known as musical hallucinations or auditory Charles Bonnet syndrome, is a condition where individuals experience musical hallucinations without an external source. People with this condition hear melodies, songs, rhythms, and other musical sounds that are not actually present in the environment.

Musical ear syndrome is relatively uncommon and can be alarming for those who experience it. However, several treatment options are available to help manage symptoms. This article will provide an overview of musical ear syndrome, including its causes and treatments.

What Is Musical Ear Syndrome?

Musical ear syndrome causes people to perceive music that no one else hears. The hallucinated music is usually familiar to the individual and may include songs, instrumentals, rhythms, and melodies.

Musical Ear Syndrome

The music can be soothing or irritating, simple or intricate, loud or soft. Musical ear syndrome is classified as an auditory hallucination because the music is generated by the brain rather than coming from an external source.

It differs from conditions like schizophrenia because people with musical ear syndrome maintain insight that the music is not real. They realize the music originates from inside their mind rather than externally.

The prevalence of musical ear syndrome is estimated at 2.5% of the population, with higher rates in older adults, women, and those with hearing loss or neurological conditions. Onset is often gradual and episodes can last for years if left untreated.

While musical ear syndrome is not inherently dangerous, it can cause distress and interfere with concentration, communication, and sleep. Raising awareness of this little-known disorder can help those affected understand their symptoms and pursue treatment options.

What Are The Causes Of Musical Ear Syndrome?

The exact causes of musical ear syndrome are not fully understood, but several theories exist. Many experts believe it results from crosstalk between brain networks responsible for processing auditory information and memory.

When one network becomes overactive or disinhibited, it stimulates activity in adjacent areas, leading to the retrieval and experience of musical memories. The following factors are thought to contribute to the development of musical ear syndrome:

  • Brain injury or neurodegenerative disorders – Conditions like stroke, tumors, Parkinson’s, Alzheimer’s, and dementia have been associated with musical hallucinations.
  • Advanced age – Musical ear syndrome becomes more common after age 60, for reasons still under investigation. 
  • Psychiatric disorders – Anxiety, depression, and schizophrenia may predispose some individuals.
  • Medications – Certain prescription drugs like benzodiazepines, opioids, and anticholinergics have been linked to musical hallucinations as a side effect.
  • Quiet environments – Lack of ambient noise can trigger the internal perception of music.
  • Stress and fatigue – These may act as triggers in predisposed individuals.

Overall, it appears that any disruption in normal brain functioning whether due to aging, neural damage, or biochemical imbalance can allow pathological music perception to emerge. Imbalances between cognitive sensory networks lead to erroneous activation of musical memories.

Treatments For Musical Ear Syndrome

Musical Ear Syndrome-Causes-Treatments

While there is no cure for musical ear syndrome, several treatment approaches can help suppress the bothersome auditory hallucinations:

  • Hearing aids – Individuals with hearing loss often improve when fitted with hearing aids to amplify real environmental sounds.
  • Music therapy – Listening to actual music periodically can have a soothing effect and reduce musical hallucinations.
  • Counseling – Cognitive behavioral therapy aims to help patients accept the hallucinations and develop coping mechanisms.
  • Medications – Anticonvulsants, antidepressants, or neuroleptics may be prescribed to alter brain chemistry.
  • Brain stimulation – Transcranial magnetic stimulation shows promise for inhibiting abnormal firing patterns.
  • Environmental enrichment – Adding ambient noise, television, radio, or fans can mask musical hallucinations.  
  • Lifestyle changes – Developing healthy sleep habits, managing stress, and limiting alcohol use can provide additional benefits.

For most patients, a combination approach tailors treatments to the individual’s symptoms and needs. While musical ear syndrome may not be completely eliminated, proper management can often make the condition more tolerable.


In summary, musical ear syndrome is an unusual neurological disorder that causes auditory hallucinations of melodies, instruments, songs, or rhythms without an actual source. The condition likely stems from abnormal communication between brain regions involved in hearing and memory.

Musical ear syndrome tends to affect older adults with hearing loss or neurological conditions. While phantom music can cause distress, treatments like hearing aids, sound generators, medications, and counseling techniques can help provide relief.

Increasing recognition of musical ear syndrome will allow for earlier intervention and improved quality of life for those affected. With proper support, many can adapt to living with this benign form of hallucination.


Q: Is musical ear syndrome a mental illness?

A: No, musical ear syndrome is not a mental illness. It is a neurological condition and those who have it maintain awareness that the music is not real. They have insight that the sounds are in their brain.

Q: Can musical ear syndrome cause deafness? 

A: Musical ear syndrome does not cause deafness or directly affect hearing ability. However, many people with musical ear syndrome already have some degree of age-related hearing loss. The hearing loss may predispose them to develop musical hallucinations.

Q: Can musical ear syndrome be cured?

A: Currently there is no cure for musical ear syndrome. The hallucinated music usually cannot be eliminated entirely. However, treatments like hearing aids, sound generators, and medication can suppress the music enough to provide relief from symptoms.

Q: Do episodes of musical ear syndrome come and go?

A: In many cases, musical ear syndrome follows a fluctuating or intermittent course. The music may stop for a period of time and then return later. Some find their hallucinations are temporary, while others experience them continuously. Stress, lack of sleep, and quiet environments can trigger episodes.

Q: Can musical ear syndrome be prevented? 

A: There are no known ways to prevent musical ear syndrome outright since factors like aging, brain changes, and hearing loss cannot be avoided. However, prompt treatment of hearing loss and neurological disorders may reduce risk. Avoiding excessive use of certain prescription medications can also minimize the odds of drug-induced musical ear syndrome. Overall, the condition is difficult to prevent given its complex causes.

Dr. Jun Ren is a dedicated and experienced registered dietitian and nutritionist who is committed to helping people achieve their health goals through personalized nutrition plans. With a passion for promoting healthy eating habits and preventing chronic diseases, Dr. Ren has been able to assist numerous clients in improving their overall quality of life.

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