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Published on: December 13, 2017
A childhood case of symptomatic essential and psychogenic palatal tremor
Francesco Margari1, Giustina Giannella, Paola Alessandra Lecce
1Psychiatry Unit;
Insights
Palatal tremor, a rare disorder of rhythmic soft palate contractions, can be symptomatic, essential, or psychogenic. This case suggests a continuum between these forms in a 12-year-old boy.
Area of Science:
- Neurology
- Movement Disorders
Background:
- Palatal tremor involves rhythmic soft palate contractions, often secondary to brainstem or cerebellar disease.
- It can also be essential (without brain lesions) or psychogenic (linked to psychological disorders).
Observation:
- A 12-year-old boy presented with palatal tremor exhibiting features of symptomatic, essential, and psychogenic types.
Findings:
- The case highlights overlapping clinical features across different palatal tremor classifications.
- This suggests a potential neuropsychopathological link between symptomatic, essential, and psychogenic palatal tremor.
Implications:
- Understanding this continuum may refine diagnostic approaches for palatal tremor.
- Further research into the underlying mechanisms of palatal tremor is warranted.
Abstract:
Palatal tremor is a rare movement disorder characterized by rhythmic contractions of the soft palate. It is most often symptomatic, secondary to brainstem or cerebellar disease and, in rarer cases, is categorized as essential in the absence of documented brain lesions. There have also been reports in the literature of cases of palatal tremor described as psychogenic because they were associated with psychological or psychiatric disorders. We describe the case of a 12-year-old boy with palatal tremor presenting clinical features of symptomatic essential and psychogenic palatal tremor, thus suggesting a neuropsychopathological continuum between the different forms of disease.
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