This review provides a commentary on coloured-hearing arising on hearing music: music-colour synaesthesia. Although traditionally explained by the hyperconnectivity theory (Ramachandran & Hubbard, 2001a) and the disinhibited feedback theory (Grossenbacher & Lovelace, 2001) as a purely perceptual phenomenon, the review of eight coloured-hearing neuroimaging studies shows that it may not be assumed that these explanations are directly translatable to music-colour synaesthesia. The concept of 'ideaesthesia' (Nikolić, 2009) and the role of conceptual and semantic inducers challenge the likelihood of a single (...) mechanism underlying the cause of synaesthesia and argue for a move away from a purely sensory to sensory explanation. Finally, music-colour synaesthesia forms a challenge for established philosophical theories and the position of synaesthesia is considered within the larger context of musical qualia. (shrink)