Related Experiment Video
Updated: Jul 19, 2026

In Vivo Evaluation of the Mechanical and Viscoelastic Properties of the Rat Tongue
Published on: July 6, 2017
Recurrent nocturnal tongue biting in a child with hereditary chin trembling
Jatinder S Goraya1, Verinderjit Virdi, Veena Parmar
1Section of Child Neurology, St Christopher's Hospital for Children, Philadelphia, PA 19134, USA.
Insights
Hereditary chin trembling, a rare genetic disorder, caused tongue biting in a child during sleep. Clonazepam effectively treated the tongue biting, a symptom linked to parasomnia, but not the chin trembling itself.
Area of Science:
- Neurology
- Genetics
- Sleep Medicine
Background:
- Hereditary chin trembling is a rare autosomal dominant disorder.
- It is characterized by involuntary mentalis muscle contractions.
- This condition's presentation in India is reported for the first time.
Observation:
- A 13-month-old boy experienced recurrent tongue biting episodes exclusively during sleep.
- The patient was diagnosed with hereditary chin trembling.
- Tongue biting was suspected to be a manifestation of parasomnia.
Findings:
- Treatment with clonazepam successfully eliminated the tongue biting symptom.
- Clonazepam did not impact the underlying chin trembling.
- This suggests a specific link between parasomnia and tongue biting in this case.
Implications:
- This case highlights a novel presentation of hereditary chin trembling.
- It underscores the importance of considering parasomnia in sleep-related oral behaviors.
- Pharmacological management with clonazepam may be beneficial for sleep-related tongue biting in similar cases.
Abstract:
A 13-month-old boy presented with repeated episodes of tongue biting during sleep. On evaluation, he was found to have hereditary chin trembling, a rare autosomal dominant condition characterized by continuous or intermittent tremulous activity of the mentalis muscle. This is the first report of this kind from India. The tongue biting appeared to be the result of parasomnia. Treatment with clonazepam was very effective; it completely ameliorated the symptom of tongue biting but had no effect on chin trembling.
Related Concept Videos
Tongue
Anatomical Position in the Oral Cavity
The tongue is located within the oral cavity, also known as the mouth. It is attached to the floor of the mouth by a fold of mucous membrane called the...
Restless Leg Syndrome and Night Terrors
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
Deglutition
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Bulimia Nervosa
Psychosexual Stages of Personality: Oral
Weaning, typically occurring around the age...
Assessment of the Mouth
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.