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CHAPTER 20 · Music’s Neurological Nexus in Clinical Practice

Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain

Kathryn C. Bates, BSc · Anastasia Kanishcheva, MPH · Michael Casey, PhD · Barbara Jobst, MD, Dr. med., FAAN, FAES

ABOUT THE AUTHORS

Abstract

Epilepsy is a neurological condition that affects 50 million people worldwide. Of those affected, 30% of individuals do not experience a decrease in symptomology while taking anti-seizure medication and continue to have seizure activity. These individuals qualify for more aggressive and invasive treatment, which can include brain resection of the seizure onset zone or the implantation of a stimulation device. While both methods help many individuals experience seizure freedom, some individual’s seizures persist. There is growing evidence that music, specifically Mozart’s Sonata K. 448, can have antiepileptic effects. This chapter will examine the many studies and meta-analyses that have assessed the effects of Mozart’s K. 448 on epilepsy. By measuring seizure and interictal epileptiform discharge (IEDs) rates, many of these studies have found that Mozart’s Sonata K. 448, more than other types of music, can lower epileptic activity. While many studies lack large sample sizes and consistency between study designs, there seems to be promise in using music therapy, specifically Mozart’s Sonata K. 448, in creating antiepileptic effects.

Keywords

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Chapter references below omit unverified page ranges and chapter-specific DOIs.

APA

Bates, K. C., Kanishcheva, A., Casey, M., & Jobst, B. (2026). Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain. In P. L. Pearl & S. Arfaie (Eds.), Music, Medicine, and the Neurobiology of Creativity. Cambridge University Press.

AMA

Bates KC, Kanishcheva A, Casey M, Jobst B. Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain. In: Pearl PL, Arfaie S, eds. Music, Medicine, and the Neurobiology of Creativity. Cambridge University Press; 2026.

Vancouver

Bates KC, Kanishcheva A, Casey M, Jobst B. Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain. In: Pearl PL, Arfaie S, editors. Music, Medicine, and the Neurobiology of Creativity. Cambridge: Cambridge University Press; 2026.

Chicago

Bates, Kathryn C., Anastasia Kanishcheva, Michael Casey, and Barbara Jobst. “Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain.” In Music, Medicine, and the Neurobiology of Creativity, edited by Phillip L. Pearl and Saman Arfaie. Cambridge University Press, 2026.

BibTeX

@incollection{chapter20_2026,
  author = {Bates, Kathryn C and Kanishcheva, Anastasia and Casey, Michael and Jobst, Barbara},
  title = {Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain},
  booktitle = {Music, Medicine, and the Neurobiology of Creativity},
  editor = {Pearl, Phillip L. and Arfaie, Saman},
  publisher = {Cambridge University Press},
  year = {2026}
}

Harvard

Bates, K. C., Kanishcheva, A., Casey, M. and Jobst, B. (2026) “Music and Epilepsy: Studying the Effects of Mozart’s Sonata K. 448 on the Epileptic Brain”, in Pearl, P.L. and Arfaie, S. (eds.) Music, Medicine, and the Neurobiology of Creativity. Cambridge: Cambridge University Press.

Kathryn C. Bates

Kathryn C. Bates

BSc

PhD Candidate, Integrative Neuroscience

Dartmouth College

Profile

Kathryn C. Bates is affiliated with the Integrative Neuroscience program at Dartmouth College’s Guarini School of Graduate and Advanced Studies. With Anastasia Kanishcheva, Michael Casey, and Barbara Jobst, she contributes a chapter examining the effects of Mozart’s Sonata K. 448 on the epileptic brain, bringing music into the study of clinical neurophysiology.

Scholarship & professional background

She studied biology and psychology at Longwood University before entering doctoral training in integrative neuroscience at Dartmouth. Her laboratory work examines behavioral impairment and the neuroimmune response to experimental brain injury, including the investigation of a novel pharmacological intervention. This broader experimental neuroscience background complements her contribution to research on musical stimulation and epilepsy.

Selected work & perspectives

Academic profile and professional workMusical components important for the Mozart K. 448 effect in epilepsy · Scientific Reports
Anastasia Kanishcheva

Anastasia Kanishcheva

MPH

Project Manager, Department of Neurology–Clinical Trials

Dartmouth Health

Profile

Anastasia Kanishcheva is Project Manager in the Department of Neurology–Clinical Trials at Dartmouth Health. With Kathryn C. Bates, Michael Casey, and Barbara Jobst, she contributes to the volume’s examination of Mozart’s Sonata K. 448 and epilepsy, a chapter connecting music with the investigation of neurological function.

Scholarship & professional background

Her involvement in clinical music research also extends to the SONATA study, which investigates a self-administered, web-based musical intervention for epilepsy. The public trial registry lists her as a study contact at Dartmouth-Hitchcock. This work connects the volume’s discussion of Mozart and epilepsy with ongoing efforts to investigate music-based approaches in a structured clinical research setting.

Selected work & perspectives

SONATA music and epilepsy study · ClinicalTrials.govMusical components important for the Mozart K. 448 effect in epilepsy · Scientific Reports
Michael Casey

Michael Casey

PhD

Professor of Computer Science and Music; Francis and Mildred Sears Professor

Dartmouth College

Profile

Michael Casey is a professor of computer science and music at Dartmouth College, where he holds the Francis and Mildred Sears Professorship. His contribution with Kathryn C. Bates, Anastasia Kanishcheva, and Barbara Jobst examines Mozart’s Sonata K. 448 and the epileptic brain, connecting musical analysis with an interdisciplinary clinical research question.

Scholarship & professional background

He studied at the University of East Anglia, completed a master’s degree in electroacoustic music at Dartmouth, and earned a doctorate in media arts and sciences at the Massachusetts Institute of Technology. His work combines music, computing, and neuroscience, including research on decoding auditory experience from functional brain imaging. His contribution to studies of music and epilepsy brings computational approaches to questions about the effects of musical structure on brain activity.

Selected research & training

His publications include research on decoding imagined musical scale relationships from auditory cortex and the musical components associated with the Mozart K. 448 effect in epilepsy. More recent work includes MusicalPT, an investigation of adaptive musical guidance in physical therapy.

Selected work & perspectives

Academic profile and professional workMusic, computing, and neuroscience · Faculty profileImagined musical scale relationships decoded from auditory cortex · Journal of Cognitive NeuroscienceMusical components important for the Mozart K. 448 effect in epilepsy · Scientific Reports
Barbara Jobst

Barbara Jobst

MD, Dr. med., FAAN, FAES

Louis and Ruth Frank Professor of Neurosciences; Chair, Department of Neurology

Geisel School of Medicine at Dartmouth

Profile

Barbara Jobst is the Louis and Ruth Frank Professor of Neurosciences and Chair of the Department of Neurology at the Geisel School of Medicine at Dartmouth. Her contribution with Kathryn C. Bates, Anastasia Kanishcheva, and Michael Casey examines the effects of Mozart’s Sonata K. 448 on the epileptic brain, situating music within a focused question in epilepsy research.

Scholarship & professional background

Her work spans epilepsy surgery, intracranial monitoring, responsive neurostimulation, and the cognitive consequences of epilepsy. She has also helped develop HOBSCOTCH, a self-management program addressing memory and quality of life. In collaborative studies of the Mozart K. 448 effect, her group has examined musical structure alongside recordings of epileptiform brain activity, investigating how specific features of sound may relate to measurable changes during clinical monitoring.

Clinical leadership & recognition

Her contributions to epilepsy care received the American Epilepsy Society’s 2019 J. Kiffin Penry Award for Excellence in Epilepsy Care. She was also elected to the society’s board of directors, with her term beginning after its 2023 annual meeting.

Selected work & perspectives

Academic profile and professional workClinical and research profile · DartmouthInvestigating Mozart K. 448 and epilepsy · DartmouthJ. Kiffin Penry Award · American Epilepsy SocietyEpilepsy leadership · American Epilepsy SocietyMusical components important for the Mozart K. 448 effect in epilepsy · Scientific Reports