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Palatal myoclonus

Year 2014, Volume: 24 Issue: 1, 38 - 41, 15.02.2014

Bilge Tuna Mehmet Hamdi Şahan

Abstract

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.

Keywords

Essential palatal myoclonus objective tinnitus symptomatic palatal myoclonus

References

  • Politzer A. Lehrbuch der Ohrenheilkunde für praktische Ârzte und Studierende. Stuttgart: Enke; 1878.
  • Deuschl G, Mischke G, Schenck E, Schulte-Mönting J, Lücking CH. Symptomatic and essential rhythmic palatal myoclonus. Brain 1990;113:1645-72.
  • Cho JW, Chu K, Jeon BS. Case of essential palatal tremor: atypical features and remarkable benefit from botulinum toxin injection. Mov Disord 2001;16:779-82.
  • Deuschl G, Löhle E, Heinen F, Lücking C. Ear click in palatal tremor: its origin and treatment with botulinum toxin. Neurology 1991;41:1677-9.
  • Saeed SR, Brookes GB. The use of clostridium botulinum toxin in palatal myoclonus. A preliminary report. J Laryngol Otol 1993;107:208-10.
  • Alp R, Alp Sİ, Kaytaz A, Apaydın H. Esansiyel palatal tremor (palatal myoklonus): Olgu sunumu. Parkinson Hast Hareket Boz Der 2008;11:33-8.
  • Zadikoff C, Lang AE, Klein C. The ‘essentials’ of essential palatal tremor: a reappraisal of the nosology. Brain 2006;129:832-40.
  • Deuschl G, Toro C, Valls-Solé J, Zeffiro T, Zee DS, Hallett M. Symptomatic and essential palatal tremor. 1. Clinical, physiological and MRI analysis. Brain 1994;117 :775-88.
  • Fahn S, Jancovic J. Myoclonus phenomenology, etiology, physiology and treatment. In: Fahn S, Jancovic J, editors. Principles and Practice of Movement Disorders. Pennsylvania: Churchill Livingstone Elsevier; 2007. p. 519-40.
  • Kojovic M, Cordivari C, Bhatia K. Myoclonic disorders: a practical approach for diagnosis and treatment. Ther Adv Neurol Disord 2011;4:47-62.
  • Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol 2004;3:598-607.
  • Borg M. Symptomatic myoclonus. Clin 2006;36:309-18.
  • Gordon MF. Toxin and drug-induced myoclonus. Adv Neurol 2002;89:49-76.
  • Penney SE, Bruce IA, Saeed SR. Botulinum toxin is effective and safe for palatal tremor: a report of five cases and a review of the literature. J Neurol 2006;253:857-60.
  • Lagueny A, Tison F, Burbaud P, Le Masson G, Kien P. Stimulus-sensitive spinal segmental myoclonus improved with injections of botulinum toxin type A. Mov Disord 1999;14:182-5.
  • Thant ZS, Tan EK. Emerging therapeutic applications of botulinum toxin. Med Sci Monit 2003;9:RA40-8.
  • Aydin O, Iseri M, Ozturk M. Radiofrequency ablation in the treatment of idiopathic bilateral palatal myoclonus: a new indication. Ann Otol Rhinol Laryngol 2006;115:824-6.
  • Litman RS, Hausman SA. Bilateral palatal myoclonus. Laryngoscope 1982;92:1187-9.
  • Jacobs L, Newman RP, Bozian D. Disappearing palatal myoclonus. Neurology 1981;31:748-51.
  • Badia L, Parikh A, Brookes GB. Management of middle ear myoclonus. J Laryngol Otol 1994;108:380-2.

Palatal miyoklonus

Year 2014, Volume: 24 Issue: 1, 38 - 41, 15.02.2014

Bilge Tuna Mehmet Hamdi Şahan

Abstract

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 yumu- şak 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

Keywords

Esansiyel palatal miyoklonus objektif tinnitus semptomatik palatal miyoklonus

References

  • Politzer A. Lehrbuch der Ohrenheilkunde für praktische Ârzte und Studierende. Stuttgart: Enke; 1878.
  • Deuschl G, Mischke G, Schenck E, Schulte-Mönting J, Lücking CH. Symptomatic and essential rhythmic palatal myoclonus. Brain 1990;113:1645-72.
  • Cho JW, Chu K, Jeon BS. Case of essential palatal tremor: atypical features and remarkable benefit from botulinum toxin injection. Mov Disord 2001;16:779-82.
  • Deuschl G, Löhle E, Heinen F, Lücking C. Ear click in palatal tremor: its origin and treatment with botulinum toxin. Neurology 1991;41:1677-9.
  • Saeed SR, Brookes GB. The use of clostridium botulinum toxin in palatal myoclonus. A preliminary report. J Laryngol Otol 1993;107:208-10.
  • Alp R, Alp Sİ, Kaytaz A, Apaydın H. Esansiyel palatal tremor (palatal myoklonus): Olgu sunumu. Parkinson Hast Hareket Boz Der 2008;11:33-8.
  • Zadikoff C, Lang AE, Klein C. The ‘essentials’ of essential palatal tremor: a reappraisal of the nosology. Brain 2006;129:832-40.
  • Deuschl G, Toro C, Valls-Solé J, Zeffiro T, Zee DS, Hallett M. Symptomatic and essential palatal tremor. 1. Clinical, physiological and MRI analysis. Brain 1994;117 :775-88.
  • Fahn S, Jancovic J. Myoclonus phenomenology, etiology, physiology and treatment. In: Fahn S, Jancovic J, editors. Principles and Practice of Movement Disorders. Pennsylvania: Churchill Livingstone Elsevier; 2007. p. 519-40.
  • Kojovic M, Cordivari C, Bhatia K. Myoclonic disorders: a practical approach for diagnosis and treatment. Ther Adv Neurol Disord 2011;4:47-62.
  • Caviness JN, Brown P. Myoclonus: current concepts and recent advances. Lancet Neurol 2004;3:598-607.
  • Borg M. Symptomatic myoclonus. Clin 2006;36:309-18.
  • Gordon MF. Toxin and drug-induced myoclonus. Adv Neurol 2002;89:49-76.
  • Penney SE, Bruce IA, Saeed SR. Botulinum toxin is effective and safe for palatal tremor: a report of five cases and a review of the literature. J Neurol 2006;253:857-60.
  • Lagueny A, Tison F, Burbaud P, Le Masson G, Kien P. Stimulus-sensitive spinal segmental myoclonus improved with injections of botulinum toxin type A. Mov Disord 1999;14:182-5.
  • Thant ZS, Tan EK. Emerging therapeutic applications of botulinum toxin. Med Sci Monit 2003;9:RA40-8.
  • Aydin O, Iseri M, Ozturk M. Radiofrequency ablation in the treatment of idiopathic bilateral palatal myoclonus: a new indication. Ann Otol Rhinol Laryngol 2006;115:824-6.
  • Litman RS, Hausman SA. Bilateral palatal myoclonus. Laryngoscope 1982;92:1187-9.
  • Jacobs L, Newman RP, Bozian D. Disappearing palatal myoclonus. Neurology 1981;31:748-51.
  • Badia L, Parikh A, Brookes GB. Management of middle ear myoclonus. J Laryngol Otol 1994;108:380-2.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Bilge Tuna This is me

Mehmet Hamdi Şahan This is me

Publication Date February 15, 2014
Published in Issue Year 2014 Volume: 24 Issue: 1

Cite

APA Tuna, B., & Şahan, M. H. (2014). Palatal miyoklonus. The Turkish Journal of Ear Nose and Throat, 24(1), 38-41.
AMA Tuna B, Şahan MH. Palatal miyoklonus. Tr-ENT. February 2014;24(1):38-41.
Chicago Tuna, Bilge, and Mehmet Hamdi Şahan. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat 24, no. 1 (February 2014): 38-41.
EndNote Tuna B, Şahan MH (February 1, 2014) Palatal miyoklonus. The Turkish Journal of Ear Nose and Throat 24 1 38–41.
IEEE B. Tuna and M. H. Şahan, “Palatal miyoklonus”, Tr-ENT, vol. 24, no. 1, pp. 38–41, 2014.
ISNAD Tuna, Bilge - Şahan, Mehmet Hamdi. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat 24/1 (February 2014), 38-41.
JAMA Tuna B, Şahan MH. Palatal miyoklonus. Tr-ENT. 2014;24:38–41.
MLA Tuna, Bilge and Mehmet Hamdi Şahan. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 1, 2014, pp. 38-41.
Vancouver Tuna B, Şahan MH. Palatal miyoklonus. Tr-ENT. 2014;24(1):38-41.