目的：報告一位女性精神分裂患者於將近一年期間內，為了注意傾聽幻聽內容，造成斜頸症。並有鑑別診斷與處置分析報告。病例報告：報告一位38歲女性精神分裂症患者，長期受幻聽影響，脖子逐漸向右偏去，造成斜頸症；與一般病患受幻聽影響產生之外顯行為截然不同。患者表示為了"傾聽"幻聽內容，得到更清楚內容，脖子遂逐漸歪斜。單就精神病理現象的分析可以解釋得通，器質因素等諸多考量均被排除。詳情文中會述。結論：精神病患者受幻聽影響產生的症狀非常多樣，本文描述之個案表現罕見，提供臨床醫師鑑別診斷與處置之參考。

　　　　　Objective: Auditory hallucination (AH) is a commonly occurring symptom in schizophrenia. We report a case of schizophrenia with persistent auditory hallucination associated with posturing which deveoped into secondary torticollis. Case Report: A 38 year-old single female had been diagnosed schizophrenic for more than ten years. She came to our hospital due to exacerbation of wryneck, stupor and poor intake of food over a few days. Drug-induced dystonia was suspected and risperidone was administered but the wryneck could not be fully corrected. During hospitalization, an interesting phenomenon was noted, the patient's neck became more lopsided during the AH occurs in her brain. Attentively listening and talking in response to the AH were confirmed by the patient's statement, such as she likes to hear their speaking, enjoy in talking with them. Clinical observations in association with attempts to distinguish specific etiologies for the torticollis provided the source material for this case report. Conclusion: Attentively listening to the AH, manifested as habitual postural distortion in the form of neck tilt, was the cause of the torticollis in this case. It is of particular interest because it is rarely seen. Besides, we will introduce differential diagnosis, treatment and articles review about AH induced physical symptoms.