Definition of hallucinations

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According to Dorland's Medical Dictionary, Edition 28, hallucinations (common manifestations of neuropsychiatric illnesses) are "a sense perception without a source in the external world; a perception of an external stimulus object in the absence of such an object".

All the senses can be subject to hallucinatory activity. Thus we classify hallucinations as auditory, visual, olfactory, gustatory, haptic (touch), kinesthetic (involving the sense of bodily movement) and somatic (involving the perception of physical experiences occurring with the body).

Hallucinations may be formed, well defined and recognizable sensations (for example, auditory hallucination of voices talking to or about oneself) or unformed elementary sensations (strange sounds, unrecognizable voices speaking unintelligible things).

Hallucinations are the expression of dysfunctional brain activity due to tissue damage (tumors, strokes, scars, parasites, infections), intoxication (drugs or metabolic products) and the action of not yet identified factors (for example, the hallucinations of schizophrenia and affective disorders).

The utilization of modern techniques like PET brain scan allowed the investigators to identify physiological correlates to hallucinatory activity like, for instance: activation of interconnected areas deep within the brain's core (bilateral thalamus, left hippocampus, parahippocampal gyrus, right anterior cingulate and left orbitofrontal cortex) and of other areas on the brain's surface (visual and auditory cortex). reduced activation in the left middle temporal gyrus, the rostral supplementary motor area and the left medial prefrontal cortex.

Additional information can be found in the following sites:
http://www.schizophrenia.com.newsletter/697/697halluc.htm
http://www.apa.org/monitor/jan97/image.html
http://www.futur.com/webtrack/sep96/sept2.htm

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