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CASE REPORT
Year : 2015  |  Volume : 21  |  Issue : 4  |  Page : 294-297

Palatal myoclonus: A long follow-up experience


Department of ENT, Wye Valley NHS Trust, Hereford HR1 2ER, UK

Correspondence Address:
Viresh Arora
A3 Longfield House, Wye valley NHS trust, Hereford HR1 2ER
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.164554

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Palatal myoclonus is an extremely rare neurotological disorder presenting to an otolaryngologist. It presents as objective tinnitus which is due to rhythmic, involuntary movements of the soft palate causing distress to the patients. Different medical and surgical remedies have been attempted with variable success. Botulinum toxin has been reportedly used in few cases and has reproduced good results lasting for a few months with minimum morbidity. We report a case suffering from palatal myoclonus for about 15 years and injection of botulinum toxin into his tensor veli palatini muscle resolved his objectionable unilateral tinnitus. Optimum results obtained initially, waned off over the years, for which the dose had to be gradually increased to achieve the desired clinical results.


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