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Archives de pédiatrie
Volume 22, n° 12
pages 1302-1308 (décembre 2015)
Doi : 10.1016/j.arcped.2015.09.005
Received : 25 November 2014 ;  accepted : 13 September 2015
L’hallucination auditive isolée chez l’enfant pré-pubère : cadre diagnostique et valeur prédictive
Isolated auditory hallucination in prepubertal children: Diagnostic framework and predictive value
 

J. Guidi a, F. Poinso b,
a Service de pédopsychiatrie, centre hospitalier Montperrin, 13100 Aix-en-Provence, France 
b Service de pédopsychiatrie, CHU de Marseille, 13009 Marseille, France 

Auteur correspondant. Hôpital de Sainte-Marguerite, 270, boulevard de Sainte-Marguerite, 13274 Marseille cedex 09, France.
Résumé

L’hallucination auditive isolée est un symptôme fréquent et probablement sous-diagnostiqué chez l’enfant pré-pubère. Il n’existe actuellement aucun consensus permettant de guider la prise en charge de cette manifestation pourtant souvent douloureusement vécue par les patients. La revue de la littérature en souligne la dimension aspécifique, ubiquitaire et transnosographique. La symptomatologie la plus fréquente est l’interpellation nominative qui demeure le plus souvent sans valeur prédictive, dans un contexte de troubles anxieux. Cependant, l’hallucination auditive isolée constitue un point d’appel intéressant pour les pédiatres et les pédopsychiatres, de dépistage d’une pathologie sous-jacente, en particulier lorsque la symptomatologie est complexe, sévère ou persistante. Le suivi médical est toujours indispensable et une prise en charge psychologique est parfois nécessaire. Le traitement médicamenteux ne devrait, quant à lui, jamais intervenir avant une période d’observation de 6 mois et se limiter aux cas où se révèle une pathologie sous-jacente.

The full text of this article is available in PDF format.
Summary

Isolated auditory hallucination is a common symptom, probably underdiagnosed, in prepubertal children. There is currently no consensus to guide the care for such manifestations; however, they are often painful for the patients. The literature emphasizes the unspecific and transnosographic aspect of this symptom. The most common symptom is having one's name called by voices, which often remains without predictive value, associated with anxiety disorders. However, isolated auditory hallucination is a useful clinical source to detect an underlying psychiatric disorder, especially when symptoms are complex, severe, or persistent. Although medical follow-up is always necessary, psychological follow-up can sometimes be beneficial, but medication should not be used before a 6-month observation and limited to cases that reveal an underlying pathology.

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