How can we “hear” auditory hallucinations?

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What causes auditory hallucinations in the brain? For example, when you are sleep deprived, it is possible to hear things very clearly as if they were real. For example, voices of people talking, which some people with schizophrenia experience commonly in their daily lives. But of course there is no input from the ears. So what exactly is happening and how is that possible?

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That feeling like you’ve been hit by a ball in a game (or something) while you’re dozing off, making you jump out of your skin (myoclonic jerk?) – is so random. But these days (getting old) I have the auditory version. Huge noises that cause me to jump up, trying to figure out what catastrophe just occurred?! The brain is crazy 😝

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