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Auricular Myoclonus: A Case Report and Literature Review
Christopher E Jabbour1, Raja A Sawaya2, George M Zaytoun1
1Department of Otolaryngology - Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
The Journal of International Advanced Otology
|February 18, 2022
Summary
Auricular myoclonus, rare ear movements, can be treated with pregabalin. This case study details a 15-year-old female experiencing these involuntary ear twitches, offering insights into management.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Auricular myoclonus is an extremely rare condition characterized by involuntary, semi-rhythmic movements of the auricle.
- Understanding the pathophysiology and clinical presentation of this disorder is crucial for diagnosis and management.
Observation:
- A 15-year-old female presented with bilateral, spontaneous, and uncontrolled auricular myoclonus.
- Symptoms were briefly suppressible with facial movements and absent during sleep.
Findings:
- Needle electromyography showed baseline tonic motor unit activity with bursts of higher amplitude in the posterior and superior auricularis muscles.
- Pregabalin intake led to symptom improvement, though not complete resolution.
Implications:
- This case highlights the clinical presentation and diagnostic findings of auricular myoclonus in an adolescent.
- Reviewing treatment modalities, including pharmacotherapy with pregabalin, is essential for managing this rare condition.
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