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We report a patient with a 30-year history of progressive,involuntary movements of the left ear and clicking sounds in both ears for 2 years.The patient had rhythmic contractions of the tensor veli palatini muscle and could relieve palatal movements and ear clicks,but not ear movements,by pressing a pillow against the left ear or by finger pressure on the tragus or the retroauricular region.We discuss the significance of these sensory tricks and the nosology of the long-standing ear movements within a classification of essential and symptomatic palatal tremor.Current diagnostic criteria for both types of palatal tremor may not cover some atypical cases such as ours. |
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