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Spontaneous palatal and tongue myoclonus - extremely rare case reportKanishk Vishnoi1, Deepika Garg1, Prakash Nagpure1 Patient description A 45-year-old male visited our otorhinolaryngology clinic due to a repetitive clicking sound in his ear (B/L) that had persisted for 2-3 years. The sound was non-pulsatile, consistent. The patient did not report additional symptoms such as vertigo, tinnitus, or hearing loss or any neurological deficit. There was no associated history of CVA/focal neurological deficit. Procedures The patient’s general condition was good and he was right-handed. Blood pressure was 120/80 mmHg, with a pulse rate of 62 beats per minute, regular. The patient had some slurring of speech, but no impairment of comprehension. Examination of cranial nerves revealed normal function except for palatal myoclonus. During clinical examination, rhythmic and involuntary movements of the soft palate and tongue were observed, consistent with myoclonus. These movements were continuous and showed no signs of resolution during the observation period. There were no aggravating or relieving factors. Neurological and cranial nerve examinations were otherwise normal. Conclusion A high-definition video was recorded during the examination to document the movements for diagnostic and educational purposes. The video highlights: 1. Rhythmic, involuntary movements of the soft palate. 2. Coordinated myoclonic movements of the tongue. 3. No evidence of other neuro-muscular abnormalities. Conclusion This case report documents a rare instance of combined palatal and tongue myoclonus with no underlying cause. The accompanying video serves as a valuable resource for clinicians encountering similar cases in practice. |
 Generate PDF/or right-click and save as.../  Figure 1. Screenshot from the video showing palatal and tongue myoclonus. Please see the original film on the official WJOMI YouTube channel available here after publication: https://youtu.be/cY1n1zz6b-k. [please click on the image to open film] Conflict of interest: none declared. Authors’ affiliations: 1 Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. Corresponding author: Dr Kanishk Vishnoi Darshika Apartment Third Floor Sevagram, Wardha Maharastra, 442102, India Tel. +917906288517 e-mail: vishnoikanishk@gmail.com To cite this article: Vishnoi K, Garg D, Nagpure P. Spontaneous palatal and tongue myoclonus - extremely rare case report. World J Med Images Videos Cases 2025; 11:e3-4. Submitted for publication: 8 May 2024 Accepted for publication: 26 January 2025 Published on: 21 February 2025 |
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