Palatal tremor suppressed by mouth opening

Morini, A; Boninsegna, C; Nostro, M.C.; Simonetti, S.; Orrico, Daniele; Moretto, Giuseppe; Tinazzi, Michèle

doi:10.1007/s00415-005-0861-5

Cited by 5 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 This is the largest series of patients with psychogenic PT reported in the literature. In line with published literature on PMDs the majority of the patients were female 16,17 ; there was a precipitating factor (predominantly a minor viral respiratory infection) 12,18 ; PT was often accompanied by bilateral ear clicking 12 ; and there was either an additional PMD or other somatizations. 13 Consistent with other PMD, BoNT helped even at long-term follow-up.…”

Section: Discussionsupporting

confidence: 82%

Psychogenic palatal tremor may be underrecognized: Reappraisal of a large series of cases

et al. 2012

View full text Add to dashboard Cite

Background Palatal tremor is characterized by rhythmic movements of the soft palate and can be essential or symptomatic. Some patients can have palatal movements as a special skill or due to palatal tics. Psychogenic palatal tremor is recognized but rarely reported in the literature. Methods We retrospectively evaluated all patients with palatal tremor seen in our center over a period of 10 years. Results Of 17 patients with palatal tremor, we identified 10 patients with isolated palatal tremor. In 70% of those the diagnosis of psychogenic palatal tremor could be made. Of the remainder, 2 had palatal tics and 1 essential palatal tremor. Conclusions We suggest that psychogenic palatal tremor may be underrecognized and propose that targeted clinical examination of positive signs for psychogenic movement disorders in these patients is essential. The correct identification of such patients has important clinical and scientific implications.

show abstract

Section: Discussionsupporting

confidence: 82%

Psychogenic palatal tremor may be underrecognized: Reappraisal of a large series of cases

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Also, as per the literature, the female gender and the presence of bilateral ear clicking in our patient is consistent with psychogenicity [23]. Our patient did not have acute upper respiratory tract infection as a precipitating factor as reported in other studies [21,24]. Platysma overactivity has been commonly reported previously to co-exist with FFMDs (61% in Fasano et al, 85% in Stone et al) but only 7.6% (2/26) of our patients were found to have it [7,8].…”

Section: Stomatognathic System: Jaws Lips Tongue Teeth and Associsupporting

confidence: 90%

Cranial Functional Movement Disorders: A Case Series with Literature Review

Mishra

Pandey

2020

Tremor and Other Hyperkinetic Movements

View full text Add to dashboard Cite

Background: Cranial functional movement disorders (CFMDs) affect the face, eyes, jaw, tongue, and palate. Objectives: We aimed to examine our large series of functional movement disorders (FMDs) patients where the cranial muscles were involved to determine their phenomenology and other clinical features. Methods: This is a chart review of 26 patients who presented with CFMDs. Results: There were 16 (61.53%) females and 10 (38.46%) male patients. The mean ± [standard deviation (SD)] age at the presentation was 33.96 ± 16.94 (Range: 11-83) years. The duration of symptoms ranged from one day to 6 years (Mean ±SD: 402.03 ±534.97 days). According to the Fahn-Williams criteria, CFMDs were documented in 24 patients and clinically established in two patients. The facial [38.46% (10/26)] involvement was the most common in our CFMDs patients. Oromandibular [19.23% (5/26)], ocular [15.38% (4/26)], lingual [15.38% (4/26)], speech [15.38% (4/26)] and palatal [(3.85; 1/26)] involvement was also seen. 10 (38.46%) patients also had associated FMD in the extracranial regions. Precipitating factors were present in 84.61% (22/26) of the patients and associated illnesses were present in 42.30% (11/26) of the patients. At 3 months follow-up, 9 (34.61%) patients had improved, 13 (50%) had partial improvement and 4 (15.38%) had no improvement. Conclusions: There was a slight female preponderance in our patients. CFMDs are more likely to involve facial muscles. Associated medical conditions like neuropsychiatric disturbances and headaches are frequently present in CFMDs patients. Early clinical diagnosis will avoid unnecessary investigations and allow the patient to seek the right treatment.

show abstract

“…However, objective otic clicks due to LVP contractions have not been reported since 1996 [9]. In our patient, otic clicks were completely absent (Additional file 1: Video S1).…”

Section: Discussionmentioning

confidence: 58%

“…EPT clicks are affected by mouth opening, speaking [9], head position [10] and relaxation [11]. In our patient, tilting the head backwards and speaking could completely suppress the tremors.…”

Section: Discussionmentioning

confidence: 82%

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

et al. 2016

View full text Add to dashboard Cite

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.

show abstract

Palatal tremor suppressed by mouth opening

Cited by 5 publications

References 24 publications

Psychogenic palatal tremor may be underrecognized: Reappraisal of a large series of cases

Psychogenic palatal tremor may be underrecognized: Reappraisal of a large series of cases

Cranial Functional Movement Disorders: A Case Series with Literature Review

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

Contact Info

Product

Resources

About