The sistrum was occasionally revived in 19th century Western orchestral music, appearing most prominently in Act 1 of the opera Les Troyens (1856–1858) by the French composer Hector Berlioz.
Syndromet blev lejlighedsvis genoplivet i det vestlige orkestermusik fra 1800-tallet, der fremtræder mest i akt 1 af operaen Les Troyens (1856-1858) af den franske komponist Hector Berlioz.