Tick-Tock on the Ward: Essential Palatal Tremor in a Pediatric Patient

A previously healthy 14-year-old girl presented with a 2-week history of tinnitus and continuous movement in the throat. There was no impairment of speech or swallow. Sleep was disturbed due to tinnitus, with a ‘tick-tock’ sound; sensory relieving techniques were not identified. Examination revealed a repetitive rhythmic movement of the uvula and soft palate (levator veli palatini) with an audible click [Video]. There was inability to voluntarily suppress the movement. Neurological examination was othe rwise normal.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Rediscovering the Physical Exam Source Type: research

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This study aimed to clarify the relationship between tinnitus severity, personality, and sleep disorders, in patients with chronic tinnitus in Japan. We retrospectively evaluated the personality factors of 56 patients presenting with tinnitus using the NEO Five-Factor Inventory (NEO-FFI), which examines five personality characteristics, including Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness. We evaluated tinnitus severity, sleep disorders, depression, and anxiety using the Tinnitus Handicap Inventory, Pittsburgh Sleep Quality Index (PSQI), Self-Rating Depression Scale, and State-Trait Anxiety I...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
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Source: Cranio - Journal of Craniomandibular and Sleep Practice - Category: Sleep Medicine Authors: Source Type: research
This study aims to contribute to an understanding of the influences of both specific and non-specific effects in neurofeedback treatment for tinnitus.Trial registrationClinicalTrials.gov:NCT03550430. Registered on 27 May 2018.
Source: Trials - Category: Research Source Type: clinical trials
Device-based clinical treatments for tinnitus are predominantly sound based and include ear-level sound generators, hearing aids, cochlear implants, and tinnitus treatment devices. They are intended for patients with bothersome tinnitus. Bothersome tinnitus is characterized by problems with sleep, concentration, and mood. Most people with bothersome tinnitus have hearing loss and would benefit from amplification; however, not all patients are willing to use hearing aids. Tinnitus treatment devices are available to assist those who are not good candidates for amplification, and include devices used while sleeping and device...
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
Tinnitus is the perception of sound in the absence of an external source. Genetic studies on families, twins, and adoptees cohorts have been conducted supporting tinnitus heritability, with higher heritability in men with bilateral tinnitus at any age, and young women with bilateral tinnitus, but not in unilateral tinnitus. The condition is associated with several comorbidities such as hearing loss, Meniere disease, sleep disorders, depression, and migraine and may lead toward suicidal attempts in extreme cases. Several studies have reported few regulatory allelic variants in candidate genes and pathways associated with ti...
Source: Otolaryngologic clinics of North America - Category: ENT & OMF Authors: Source Type: research
Publication date: Available online 11 April 2020Source: Journal of the Formosan Medical AssociationAuthor(s): Shang-Rung Hwang, Sheng-Wei Hwang, Yia-Chi Chu, Juen-Haur Hwang
Source: Journal of the Formosan Medical Association - Category: General Medicine Source Type: research
CONCLUSION: Sleep terror is positively associated with chronic tinnitus, especially in young adults. PMID: 32291135 [PubMed - as supplied by publisher]
Source: J Formos Med Assoc - Category: General Medicine Authors: Tags: J Formos Med Assoc Source Type: research
What is tinnitus? Tinnitus is a generic term used to describe a ringing or noise in the ears that occurs in the absence of external sound. This is a very common condition that is thought to occur in up to 15% of people. It can occur in one or both ears, and often people will describe the sound as “coming from their head.” There are a variety of descriptions that people use for their tinnitus such as whooshing, ringing, pulsing, and/or buzzing, and the quality of the sound varies by individual. Symptoms of tinnitus can cause great distress While tinnitus can be caused by conditions that require medical attention...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Ear, nose, and throat Hearing Loss Tests and procedures Source Type: blogs
Reporters recently asked President Trump about news that U.S. troops had sustained various degrees of traumatic brain injury (TBI) in an Iranian missile strike. He responded, “I heard they had headaches and a couple of other things, but I would say, and I can report, it’s not very serious.” An outcry followed these remarks, with military leaders and others noting that TBI has been called a “signature injury” among U.S. troops in the recent conflicts in the Middle East. Fifty U.S. troops are reported to have TBI resulting from the Iranian strike.  Research has tied mild TBI (mTBI, the pred...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Audiology Slider Speech-Language Pathology blast injuries Cognitive Rehabilitation cognitive-communication disorder hearing loss TBI tinnitus Traumatic Brain Injury Source Type: blogs
The objective of this study was to investigate the correlation of tinnitus severity and sleep quality prior to tinnitus onset in a Chinese population.We recruited patients with primary tinnitus from a tertiary teaching hospital in southwest China, retrospectively. The Pittsburgh Sleep Quality Index (PSQI) and the Mandarin version of the Tinnitus Handicap Inventory (THI-M) were employed to assess tinnitus severity and sleep quality of past, respectively. A battery of hearing tests was also administered to subjects, including TEOAE, pure tone audiometry, and tympanometry, for hearing evaluation.We enrolled 190 patients and n...
Source: Psychiatric Quarterly - Category: Psychiatry Source Type: research
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