Journal of Movement Disorders

Case Report

Focal Unilateral Palatal Myoclonus Causing Objective Clicking Tinnitus without Uvula Elevation Diagnosed by Concurrent Auscultation: Chindhuri Selvadurai, Sara Maguire Schaefer; J Mov Disord. 2020;13(3):223-224. Published online July 14, 2020; DOI: https://doi.org/10.14802/jmd.20010

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Palatal myoclonus generally entails a visible elevation of the palate and uvula and may be accompanied by myoclonus of other oropharyngeal muscles. A 55-year-old man presented with left ear clicking and hyperacusis. Examination showed arrhythmic left lateral soft palate contraction in the tensor veli palatini region without elevation of the uvula, which correlated with an audible click by auscultation with a stethoscope over the left ear. This is a rare case of focal, unilateral palatal myoclonus without visual uvula elevation with concurrent auscultation, demonstrating the importance of careful examination to detect focal myoclonic contractions.

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Tinnitus
Navdeep Bhamra, Charlotte Juman, Edward Balai
InnovAiT: Education and inspiration for general practice.2021; 14(9): 546. CrossRef

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