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Palatal myoclonus

Yıl 2014, Cilt: 24 Sayı: 1, 38 - 41, 15.02.2014

Bilge Tuna Mehmet Hamdi Şahan

Öz

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.

Anahtar Kelimeler

Essential palatal myoclonus objective tinnitus symptomatic palatal myoclonus

Kaynakça

  • 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

Yıl 2014, Cilt: 24 Sayı: 1, 38 - 41, 15.02.2014

Bilge Tuna Mehmet Hamdi Şahan

Öz

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

Anahtar Kelimeler

Esansiyel palatal miyoklonus objektif tinnitus semptomatik palatal miyoklonus

Kaynakça

  • 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.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

Bilge Tuna Bu kişi benim

Mehmet Hamdi Şahan Bu kişi benim

Yayımlanma Tarihi 15 Şubat 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 24 Sayı: 1

Kaynak Göster

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. Şubat 2014;24(1):38-41.
Chicago Tuna, Bilge, ve Mehmet Hamdi Şahan. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat 24, sy. 1 (Şubat 2014): 38-41.
EndNote Tuna B, Şahan MH (01 Şubat 2014) Palatal miyoklonus. The Turkish Journal of Ear Nose and Throat 24 1 38–41.
IEEE B. Tuna ve M. H. Şahan, “Palatal miyoklonus”, Tr-ENT, c. 24, sy. 1, ss. 38–41, 2014.
ISNAD Tuna, Bilge - Şahan, Mehmet Hamdi. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat 24/1 (Şubat 2014), 38-41.
JAMA Tuna B, Şahan MH. Palatal miyoklonus. Tr-ENT. 2014;24:38–41.
MLA Tuna, Bilge ve Mehmet Hamdi Şahan. “Palatal Miyoklonus”. The Turkish Journal of Ear Nose and Throat, c. 24, sy. 1, 2014, ss. 38-41.
Vancouver Tuna B, Şahan MH. Palatal miyoklonus. Tr-ENT. 2014;24(1):38-41.