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Middle-ear myoclonus.

T E Zipfel1, S R Kaza, J S Greene

  • 1Department of Otolaryngology-Head and Neck Surgery, Penn State Geisinger Medical Center, USA.

The Journal of Laryngology and Otology
|June 1, 2000
PubMed
Summary
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Bilateral middle-ear myoclonus, a rare cause of tinnitus, was effectively treated by surgically severing middle ear tendons. This intervention resolved incapacitating tinnitus in a multiple sclerosis patient.

Area of Science:

  • Otolaryngology
  • Neurology

Background:

  • Tinnitus can rarely stem from repetitive middle ear muscle contractions.
  • Middle ear myoclonus is an uncommon cause of severe tinnitus.

Observation:

  • A patient with multiple sclerosis presented with incapacitating, rhythmic tinnitus.
  • Otological exams revealed rhythmic tympanic membrane movement, correlating with perceived tinnitus.
  • Impedance audiometry confirmed fluctuating middle ear volume.

Findings:

  • Medical management failed to alleviate the tinnitus.
  • Surgical bilateral sectioning of the tensor tympani and stapedial tendons successfully cured the tinnitus.
  • This case highlights a surgical solution for refractory middle ear myoclonus.

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Implications:

  • Surgical intervention offers a potential cure for debilitating tinnitus caused by middle ear myoclonus.
  • This case expands treatment options for rare forms of tinnitus.
  • Understanding the link between neurological conditions and middle ear muscle activity is crucial.