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Bilateral muscular tinnitus due to myoclonus of extrinsic auricular muscles

Authors
Lee, KijeongChang, JiwonPark, SangheonIm, Gi JungChoi, Hyung JoonKim, Jin HwanKim, Hyung-Jong
Issue Date
Apr-2015
Publisher
ELSEVIER SCI LTD
Keywords
Tinnitus; Auricular muscle; Myoclonus; Botulinum toxin
Citation
AURIS NASUS LARYNX, v.42, no.2, pp.173 - 175
Indexed
SCIE
SCOPUS
Journal Title
AURIS NASUS LARYNX
Volume
42
Number
2
Start Page
173
End Page
175
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/93892
DOI
10.1016/j.anl.2014.10.009
ISSN
0385-8146
Abstract
The muscular tinnitus due to an extrinsic auricular myoclonus is an extremely rare disorder which demonstrates a semirhythmic involuntary movement of the ear. We report a 33-year-old man with clicking tinnitus caused by focal myoclonic jerks of bilateral posterior auricularis muscle and bilateral temporalis muscle. This muscular tinnitus persisted except for when he was sleeping or breath holding. His symptom responded poorly to medical therapy but was controlled by botulinum toxin type A injection under electromyography monitoring with favorable outcome. Previous reports of this condition and possible therapeutic approaches are discussed. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
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