Management of middle ear myoclonus

Badia, Lydia; Parikh, Abhi; Brookes, G. B.

doi:10.1017/s0022215100126866

Cited by 71 publications

(72 citation statements)

References 9 publications

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“…Orta kulak miyoklonusu sıklıkla tek taraflıdır ve tedavisi timpanotomi ile birlikte stapedial ve tensor timpani kaslarının kesilmesi ile sağlanabilmektedir. [20] …”

Section: Discussionunclassified

Palatal myoclonus

Tuna¹

2014

Kulak Burun Bogaz Ihtis Derg

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Palatal miyoklonus, son derece nadir görülen bir hastalıktır. Tinnitus yumuşak damağın ritmik istemsiz hareketlerine bağlı olarak oluşur. Klinik tanı dışarıdan duyulabilen kulakta tıklama sesiyle beraber yumuşak damak hareketlerinin görülmesi ile konur. Bu yazıda, on yıldır kulakta tıklama sesi öyküsü olan ve esansiyel palatal miyoklonus tanısı konulan 38 yaşında bir kadın olgu sunuldu. Hastalık ve semptomatik palatal miyoklonus ile ayırıcı tanısı literatür verileri ışığında değerlendirildi.Anahtar Sözcükler: Esansiyel palatal miyoklonus; objektif tinnitus; semptomatik palatal miyoklonus.Palatal myoclonus is an extremely rare disorder. Tinnitus is secondary to rhythmic involuntary movements of the soft palate. Clinical diagnosis is based on the confirmation of the soft palate movements synchronous with an audible clicking noise outside. In this article, we report a 38-year-old female case with a 10 yearhistory of continuing ear click, who was diagnosed with essential palatal myoclonus. The disease and its differential diagnosis from symptomatic palatal myoclonus were discussed in the light of literature data.

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“…Orta kulak miyoklonusu sıklıkla tek taraflıdır ve tedavisi timpanotomi ile birlikte stapedial ve tensor timpani kaslarının kesilmesi ile sağlanabilmektedir. [20] …”

Section: Discussionunclassified

Palatal myoclonus

Tuna¹

2014

Kulak Burun Bogaz Ihtis Derg

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“…In middle ear myoclonus palatal tremor is not observed but tympanic membrane movement synchronous with the "ear clicks" may be evident. Middle ear myoclonus is more often unilateral and can be relieved by tympanotomy and section of the stapedial and tensor tympani muscles [11].…”

Section: Discussionmentioning

confidence: 99%

Botulinum toxin is effective and safe for palatal tremor

2006

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Palatal tremor (formerly palatal myoclonus) is an extremely rare, but potentially treatable cause, of objective tinnitus. The tinnitus is thought to be secondary to rhythmic involuntary movements of the soft palate. Its aetiology is variable and it remains difficult to treat. Many different medical and surgical remedies have been tried but none have demonstrated reproducible success. Botulinum toxin has been used in sporadic cases and seems to produce good results. Ten patients with palatal tremor have presented to this department over the last three years. After discussion with the patients with regard to the management of this condition and possible complications, five opted for botulinum toxin therapy and five declined further intervention. Clinical diagnosis was made on the confirmation of soft palate movements synchronous with an audible clicking noise. Five patients underwent botulinum toxin injection into the insertion of the levator and tensor veli palatini muscles. Of the five that were treated with toxin, four showed complete resolution of symptoms after a course of treatment. Only one patient reported transient side effects. This would suggest that botulinum toxin is a safe and effective first line treatment for palatal tremor.

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“…Stressful events or noise exposure were frequently associated with the onset of middle ear myoclonic tinnitus, which indicates that a possible pathological mechanism of the middle ear myoclonic tinnitus could be brain reorganization due to stress, noise or brain lesions. Middle ear myoclonic tinnitus can also be associated with vigorous contractions of the eyelid, called forceful eyelid closure syndrome [14], or with palatal myoclonus [12].…”

Section: ) Etiologymentioning

confidence: 99%

“…cabarmazepine, a muscle relaxant or a sedative agent have all been reported to produce partial to complete relief of symptoms in middle ear myoclonic tinnitus [14,15].…”

Section: ) Treatmentmentioning

confidence: 99%

Objective Tinnitus

Park

2016

Hanyang Med Rev

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Objective tinnitus originates from the para-auditory structures of the head and neck and can be heard or documented by examiner. Three representative forms of objective tinnitus, according to the causal organs are myoclonic tinnitus, vascular tinnitus and tinnitus caused by the patulous Eustachian tube. Etiologies, pathologic mechanisms, diagnostic approaches, and proper treatment methods of objective tinnitus are comprehensively discussed with a review of literatures. Objective tinnitus can be cured in many cases. Clinicians need to be well aware of the clinical characteristics of objective tinnitus since early, correct diagnosis with proper management are mandatory for its cure.

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Management of middle ear myoclonus

Cited by 71 publications

References 9 publications

Palatal myoclonus

Palatal myoclonus

Botulinum toxin is effective and safe for palatal tremor

Objective Tinnitus

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