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

Abstract:

BACKGROUND:In 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 PRESENTATION:Nasal 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. CONCLUSIONS:To 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.

journal_name

Head Face Med

journal_title

Head & face medicine

authors

Ye Y,Liao S,Luo B,Ni L

doi

10.1186/s13005-016-0129-6

subject

Has Abstract

pub_date

2016-11-22 00:00:00

pages

33

issue

1

issn

1746-160X

pii

10.1186/s13005-016-0129-6

journal_volume

12

pub_type

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