Palatal tremor in childhood: clinical and therapeutic considerations

Campistol-Plana, J; Majumdar, Anirban; Fernández-Álvarez, E

doi:10.1017/s0012162206002155

Cited by 19 publications

(12 citation statements)

References 32 publications

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“…Due to an increased frequency of episodes of agitation, chlorpromazine therapy was started, then carbolithium was added, resulting in an improvement of the behavioral disturbances. Treatment with piracetam, the effectiveness of which in essential palatal tremor was recently reported by Campistol-Plana et al,3 was ineffective. It was not possible to administer treatment with botulinum toxin due to the patient’s limited cooperation.…”

Section: Case Reportmentioning

confidence: 90%

A childhood case of symptomatic essential and psychogenic palatal tremor

Margari¹,

Giannella²,

Lecce³

et al. 2011

NDT

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Palatal tremor is a rare movement disorder characterized by rhythmic contractions of the soft palate. It is most often symptomatic, secondary to brainstem or cerebellar disease and, in rarer cases, is categorized as essential in the absence of documented brain lesions. There have also been reports in the literature of cases of palatal tremor described as psychogenic because they were associated with psychological or psychiatric disorders. We describe the case of a 12-year-old boy with palatal tremor presenting clinical features of symptomatic essential and psychogenic palatal tremor, thus suggesting a neuropsychopathological continuum between the different forms of disease.

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Section: Case Reportmentioning

confidence: 90%

A childhood case of symptomatic essential and psychogenic palatal tremor

Margari¹,

Giannella²,

Lecce³

et al. 2011

NDT

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“…Campistol-Plana et al [14] suggested that TPV and tubal pharynx muscles are controlled by the glossopharyngeal nerve and pharyngeal plexus. Their treatment of four pediatric patients with 2% lidocaine resulted in the gradual disappearance of palatal tremors.…”

Section: Discussionmentioning

confidence: 99%

Botulinum toxin treatment for essential palatal tremors presenting with nasal clicks instead of pulsatile tinnitus: a case report

et al. 2016

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BackgroundIn this study, we report a rare case of an adult patient with essential palatal tremors (EPT) presenting as nasal clicks, instead of otic clicks or objective pulsatile tinnitus in common EPT.Case presentationNasal endoscopic examination and EMG recordings of the soft palate muscles were performed to confirm the source of the clicks. Initial treatment with lidocaine provided symptomatic relief for four hours. The patient was then treated with four simultaneous injections of 12.5 U of botulinum toxin in four different sites of the soft palate. Palatal tremors and clicks completely disappeared within three months of treatment.ConclusionsTo our knowledge, this is the first case of EPT that presented with nasal clicks. We recommend that otolaryngologists should expect this rare occurrence in the clinical setting, and handle patients presenting with such symptoms with care and compassion in order not to worsen their psychological status.Electronic supplementary materialThe online version of this article (doi:10.1186/s13005-016-0129-6) contains supplementary material, which is available to authorized users.

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“…The pharmacological treatment for PT includes a variety of agents such as anticonvulsants, benzodiazepines, anticholinergic agents, calcium channel blockers (flunarizine), 5-hydroxytryptamine (5HT) and 5HT agonists (sumatriptan), nootropics (piracetam), placebos and botulinum toxin [17]. Tonsillectomy and other local therapies [7], relaxation techniques, voluntary mechanisms [17] such as the Valsalva maneuver, and dental devices [18] have also been attempted.…”

Section: Discussionmentioning

confidence: 99%

“…Tonsillectomy and other local therapies [7], relaxation techniques, voluntary mechanisms [17] such as the Valsalva maneuver, and dental devices [18] have also been attempted. However, the response of patients to these interventions is varied.…”

Section: Discussionmentioning

confidence: 99%

Palatal tremor after lithium and carbamazepine use: a case report

2010

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IntroductionPalatal tremor, characterized by rhythmic contractions of the soft palate, can occur secondary to pathology in the dentato-rubro-olivary pathway, or in the absence of such structural lesions. Its pathogenesis is only partially understood. We describe a case of probable drug-induced palatal tremor.Case presentationA 27-year-old Indian man had taken carbamazepine and lithium for 7 years for the treatment of a manic episode. He presented with a one-year history of bilateral rhythmic oscillations of his soft palate and tremors of his tongue. There were no other abnormalities detected from his examination or after detailed investigation.ConclusionPalatal tremors may result from medication used in the treatment of psychiatric disorders.

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Palatal tremor in childhood: clinical and therapeutic considerations

Cited by 19 publications

References 32 publications

A childhood case of symptomatic essential and psychogenic palatal tremor

A childhood case of symptomatic essential and psychogenic palatal tremor

Botulinum toxin treatment for essential palatal tremors presenting with nasal clicks instead of pulsatile tinnitus: a case report

Palatal tremor after lithium and carbamazepine use: a case report

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