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Tic-Like Repetitive Ear-Popping Behavior With Objective Eustachian Tube Opening in an Adult With Tourette Syndrome
Kyoko Hoshino1, Mayuko Okada2, Ayako Nishio3
1Child Neurology, Segawa Memorial Neurological Clinic for Children, Tokyo, Japan.
Summary
This case study describes an "ear-popping tic" in Tourette syndrome, identified through objective Eustachian tube function testing. Lifestyle changes led to symptom improvement, highlighting the need for precise diagnosis.
Area of Science:
- Neurology
- Otolaryngology
- Psychiatry
Background:
- Tourette syndrome (TS) is characterized by motor and vocal tics.
- Eustachian tube (ET) dysfunction has not been previously linked to tic disorders.
Purpose of the Study:
- To describe a novel case of an
- ear-popping tic
- associated with Tourette syndrome.
- To investigate the underlying Eustachian tube dynamics using objective testing.
Main Methods:
- Case report of a 31-year-old woman with Tourette syndrome experiencing an
- ear-popping tic
- .
- Objective assessment using acoustic Eustachian tube function testing.
Main Results:
- Objective testing revealed repetitive, non-swallow-related Eustachian tube opening, consistent with tic-like muscle contractions.
- The patient reported a premonitory urge and partial suppressibility of the ear-popping tic.
- Differential diagnoses were considered, including voluntary actions and other middle ear conditions.
Conclusions:
- This case suggests Eustachian tube dysfunction may manifest as a tic-like phenomenon in Tourette syndrome.
- Objective assessment is crucial for differentiating tic-related ET opening from other conditions.
- Lifestyle modifications were associated with symptom improvement and medication discontinuation.
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