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Bilateral clicking tinnitus due to myoclonus of middle ear muscles
Jeremy Hornibrook1, Allan Keast1
1Otolaryngologist Department of Otolaryngology, Head and Neck Surgery, Christchurch Hospital, Christchurch.
Abstract:
Isolated middle ear myoclonus can be a cause of objective tinnitus. We present an acoustically documented case of irregular bilateral middle ear myoclonus with loud clicking, and roaring tinnitus associated with essential palatal tremor. A palatal botulinum toxin injection did not eliminate the tinnitus. Division of both middle ear tendons in both ears abolished the clicking tinnitus with no effect on hearing.
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