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MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
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[Objective tinnitus and essential palatal tremor in children: report of a case]

M Daval1, M Cohen, I Mari

  • 1Fondation Adolphe de Rothschild, Unité d'Otologie-Otoneurologie, Paris, France.

Revue De Laryngologie - Otologie - Rhinologie
|October 10, 2009
PubMed

Insights

Palatal tremor, a rare neurological disorder, can cause objective tinnitus in children. Essential palatal tremor in a 10-year-old girl presented as clicking tinnitus, with botulinum toxin injection emerging as a potential treatment.

Area of Science:

  • Neurotology
  • Pediatric Neurology

Background:

  • Palatal tremor is a rare neurotological condition.
  • It can cause objective tinnitus, particularly in children.
  • It may be symptomatic or essential.

Observation:

  • A 10-year-old girl presented with clicking tinnitus.
  • The tinnitus was attributed to essential palatal tremor.
  • No immediate treatment was required as the patient was not significantly bothered.

Findings:

  • Essential palatal tremor can manifest as objective tinnitus in children.
  • While various treatments exist for distressing tinnitus from palatal myoclonus, botulinum toxin injections show promise.

Implications:

  • This case highlights essential palatal tremor as a cause of objective tinnitus in pediatric patients.
  • Botulinum toxin injection is emerging as a preferred treatment for distressing tinnitus associated with palatal myoclonus.

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