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Chiang CC, Masterson R, T Nguyen E, Azola A. Rehabilitation considerations for palato-pharyngo-laryngeal myoclonus associated dysphagia. PM R 2024; 16:938-940. [PMID: 37815097 DOI: 10.1002/pmrj.13080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 10/02/2023] [Indexed: 10/11/2023]
Affiliation(s)
- Cheng-Chuan Chiang
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Ryan Masterson
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Eric T Nguyen
- Touro University Nevada College of Osteopathic Medicine, Henderson, Nevada, USA
| | - Alba Azola
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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2
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Singh R, Lakhanpal V, A R, Peer S, Wander A. Olivary Hypertrophy Induced Palatal Myoclonus in a Treated Case of Medulloblastoma. Neuropediatrics 2024. [PMID: 38897218 DOI: 10.1055/s-0044-1787745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/21/2024]
Affiliation(s)
- Ramandeep Singh
- Department of Radiodiagnosis, All India Institute of Medical Sciences, Bathinda, Punjab, India
| | - Vikas Lakhanpal
- Department of Neurology, All India Institute of Medical Sciences, Bathinda, Punjab, India
| | - Roshwanth A
- Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Bathinda, Punjab, India
| | - Sameer Peer
- Department of Radiodiagnosis, All India Institute of Medical Sciences, Bathinda, Punjab, India
| | - Arvinder Wander
- Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, Bathinda, Punjab, India
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3
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Zhang T, Liem B, Anderson NE. Progressive ataxia and palatal tremor. Intern Med J 2024; 54:521-522. [PMID: 38475967 DOI: 10.1111/imj.16357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 12/09/2023] [Indexed: 03/14/2024]
Affiliation(s)
- Tony Zhang
- Department of Neurology, Auckland City Hospital, Auckland, New Zealand
| | - Bernard Liem
- Department of Neurology, Auckland City Hospital, Auckland, New Zealand
| | - Neil E Anderson
- Department of Neurology, Auckland City Hospital, Auckland, New Zealand
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4
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Manzano GS, McEntire C, Venna N. Case report of palatal tremor as a feature of CASPR2 autoimmune encephalitis. J Neurol 2024; 271:1013-1014. [PMID: 37819461 DOI: 10.1007/s00415-023-11992-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 09/06/2023] [Accepted: 09/07/2023] [Indexed: 10/13/2023]
Affiliation(s)
- Giovanna S Manzano
- Division of Neuroimmunology and Neuroinfectious Diseases, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.
| | - Caleb McEntire
- Division of Neuroimmunology and Neuroinfectious Diseases, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
| | - Nagagopal Venna
- Division of Neuroimmunology and Neuroinfectious Diseases, Department of Neurology, Massachusetts General Hospital, Boston, MA, USA
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5
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Stoker TB. Bilateral hypertrophic olivary degeneration in symptomatic palatal tremor. Pract Neurol 2023; 23:346-347. [PMID: 36759175 DOI: 10.1136/pn-2022-003678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2023] [Indexed: 02/11/2023]
Affiliation(s)
- Thomas B Stoker
- Department of Neurology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
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6
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Rodríguez-Díaz M, Hernando Cuñado M, Rincón-López EM. Palatal tremor in a teenager. An Pediatr (Barc) 2023; 99:145. [PMID: 37453922 DOI: 10.1016/j.anpede.2023.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 02/11/2023] [Indexed: 07/18/2023] Open
Affiliation(s)
- Marta Rodríguez-Díaz
- Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | - Mónica Hernando Cuñado
- Servicio de Otorrinolaringología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Elena María Rincón-López
- Servicio de Pediatría, Sección Enfermedades Infecciosas Pediátricas, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Centro de Investigación Biomédica en Red Enfermedades Infecciosas del Instituto de Salud Carlos III (CIBERINFEC), Madrid, Spain
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7
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Kaur N, Angurana SK, Suthar R. Essential Palatal Tremors in a Child. J Pediatr 2022; 255:254-255. [PMID: 36549412 DOI: 10.1016/j.jpeds.2022.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 12/14/2022] [Indexed: 12/24/2022]
Affiliation(s)
- Navpreet Kaur
- Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Suresh Kumar Angurana
- Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Renu Suthar
- Pediatric Neurology Unit, Department of Pediatrics, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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8
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Soyama S, Mano T, Yamada N, Iguchi N, Iwasa N, Sugie K. [A case of the palatal tremor that disappeared during swallowing, thought to be caused by microbleeds of bilateral dentate nucleus]. Rinsho Shinkeigaku 2022; 62:744-747. [PMID: 36031373 DOI: 10.5692/clinicalneurol.cn-001678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
A 72-year-old female presented with slowly progressive dysphonia, which was a syllable-separated utterance, for three years. She had the rhythmic continues contraction of palatal and uvula muscles during speech with a frequency of about 2 Hz. The videoendoscopy showed that the rhythmic contraction, which synchronized in the nasopharynx and the larynx, did not disappear during vocalization. The swallowing videofluorography showed that the rhythmic contraction disappeared transiently during the swallowing reflex, and there was no aspiration. The MRI revealed olivary pseudohypertrophy and multiple microbleedings including the bilateral dentate nucleus. The degeneration of olivary nucleus secondary to the bilateral asymptomatic dentate nucleus microbleedings within the dentato-rubro-olivary pathway was thought to be a cause of palatal tremor. This is a first report that a dynamic relation between vocalization and swallowing in palatal tremor.
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Affiliation(s)
- Shigeto Soyama
- Department of Medical Technology Center, Nara Medical University Hospital
| | - Tomoo Mano
- Department of Neurology, Nara Medical University
- Department of Rehabilitation Medicine, Nara Medical University
| | | | | | - Naoki Iwasa
- Department of Neurology, Nara Medical University
| | - Kazuma Sugie
- Department of Neurology, Nara Medical University
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9
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Sáenz-Farret M, Tijssen MAJ, Eliashiv D, Fisher RS, Sethi K, Fasano A. Antiseizure Drugs and Movement Disorders. CNS Drugs 2022; 36:859-876. [PMID: 35861924 DOI: 10.1007/s40263-022-00937-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/30/2022] [Indexed: 11/03/2022]
Abstract
The relationship between antiseizure drugs and movement disorders is complex and not adequately reviewed so far. Antiseizure drugs as a treatment for tremor and other entities such as myoclonus and restless leg syndrome is the most common scenario, although the scientific evidence supporting their use is variable. However, antiseizure drugs also represent a potential cause of iatrogenic movement disorders, with parkinsonism and tremor the most common disorders. Many other antiseizure drug-induced movement disorders are possible and not always correctly identified. This review was conducted by searching for all the possible combinations between 15 movement disorders (excluding ataxia) and 24 antiseizure drugs. The main objective was to describe the movement disorders treated and worsened or induced by antiseizure drugs. We also summarized the proposed mechanisms and risk factors involved in the complex interaction between antiseizure drugs and movement disorders. Antiseizure drugs mainly used to treat movement disorders are clonazepam, gabapentin, lacosamide, levetiracetam, oxcarbazepine, perampanel, phenobarbital, pregabalin, primidone, topiramate, and zonisamide. Antiseizure drugs that worsen or induce movement disorders are cenobamate, ethosuximide, felbamate, lamotrigine, phenytoin, tiagabine, and vigabatrin. Antiseizure drugs with a variable effect on movement disorders are carbamazepine and valproate while no effect on movement disorders has been reported for brivaracetam, eslicarbazepine, lacosamide, and stiripentol. Although little information is available on the adverse effects or benefits on movement disorders of newer antiseizure drugs (such as brivaracetam, cenobamate, eslicarbazepine, lacosamide, and rufinamide), the evidence collected in this review should guide the choice of antiseizure drugs in patients with concomitant epilepsy and movement disorders. Finally, these notions can lead to a better understanding of the mechanisms involved in the pathophysiology and treatments of movement disorders.
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Affiliation(s)
- Michel Sáenz-Farret
- Edmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Division of Neurology, University of Toronto, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada
| | - Marina A J Tijssen
- Department of Neurology, University of Groningen, Groningen, The Netherlands.,Expertise Center Movement Disorders Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Dawn Eliashiv
- UCLA Seizure Disorder Center, Department of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
| | - Robert S Fisher
- Departments of Neurology and Neurological Sciences and Neurosurgery, Stanford University, Stanford, CA, USA
| | - Kapil Sethi
- Medical College of Georgia, Augusta University, Augusta, GA, USA
| | - Alfonso Fasano
- Edmond J. Safra Program in Parkinson's Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Division of Neurology, University of Toronto, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada. .,Krembil Brain Institute, Toronto, ON, Canada. .,Center for Advancing Neurotechnological Innovation to Application (CRANIA), Toronto, ON, Canada.
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10
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Yoshida K. Botulinum Toxin Therapy for Oromandibular Dystonia and Other Movement Disorders in the Stomatognathic System. Toxins (Basel) 2022; 14:282. [PMID: 35448891 PMCID: PMC9026473 DOI: 10.3390/toxins14040282] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 04/01/2022] [Accepted: 04/11/2022] [Indexed: 01/02/2023] Open
Abstract
Various movement disorders, such as oromandibular dystonia, oral dyskinesia, bruxism, functional (psychogenic) movement disorder, and tremors, exist in the stomatognathic system. Most patients experiencing involuntary movements due to these disorders visit dentists or oral surgeons, who may be the first healthcare providers. However, differential diagnoses require neurological and dental knowledge. This study aimed to review scientific advances in botulinum toxin therapy for these conditions. The results indicated that botulinum toxin injection is effective and safe, with few side effects in most cases when properly administered by an experienced clinician. The diagnosis and treatment of movement disorders in the stomatognathic system require both neurological and dental or oral surgical knowledge and skills, and well-designed multicenter trials with a multidisciplinary team approach must be necessary to ensure accurate diagnosis and proper treatment.
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Affiliation(s)
- Kazuya Yoshida
- Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto 612-8555, Japan
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11
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Mellidez Acosta R, Saro-Buendía M, Torres García L, Marcos Peña MA, De Paula Vernetta C. Objective tinnitus secondary to palatal tremor: Two case reports and brief literature review. J Otol 2022; 17:107-110. [PMID: 35949555 PMCID: PMC9349006 DOI: 10.1016/j.joto.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 11/25/2021] [Accepted: 11/25/2021] [Indexed: 11/25/2022] Open
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12
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Palato-Lingual Tremor in a Child With Juvenile-Onset Alexander Disease. Pediatr Neurol 2022; 126:1-2. [PMID: 34678550 DOI: 10.1016/j.pediatrneurol.2021.09.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 08/27/2021] [Accepted: 09/27/2021] [Indexed: 11/21/2022]
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13
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Nathan CL, Quigley S, Spindler M. Palato‐Pharyngo‐Laryngeal Myoclonus with Facial Involvement After an Ischemic Stroke. Mov Disord Clin Pract 2021; 9:104-106. [PMID: 36988973 PMCID: PMC8721822 DOI: 10.1002/mdc3.13355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 09/13/2021] [Accepted: 10/04/2021] [Indexed: 11/11/2022] Open
Affiliation(s)
- Cody L. Nathan
- Department of Neurology University of Pennsylvania Health System Philadelphia Pennsylvania USA
| | - Savannah Quigley
- Department of Neurology University of Pennsylvania Health System Philadelphia Pennsylvania USA
| | - Meredith Spindler
- Department of Neurology University of Pennsylvania Health System Philadelphia Pennsylvania USA
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14
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Boullaud L, Terrier LM, Bakhos D. Oropharyngeal tremor. Eur Ann Otorhinolaryngol Head Neck Dis 2021; 139:109-110. [PMID: 34503923 DOI: 10.1016/j.anorl.2021.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- L Boullaud
- Service ORL et chirurgie cervico-faciale, CHU de Tours, Boulevard Tonnellé, 37044 Tours, France; Inserm UMR 1253 I-brain, université François-Rabelais de Tours, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France.
| | - L-M Terrier
- Inserm UMR 1253 I-brain, université François-Rabelais de Tours, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France; Neurochirurgie, CHU de Tours, Boulevard Tonnellé, 37044 Tours, France; Faculté de médecine de Tours, université François-Rabelais de Tours, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France
| | - D Bakhos
- Service ORL et chirurgie cervico-faciale, CHU de Tours, Boulevard Tonnellé, 37044 Tours, France; Neurochirurgie, CHU de Tours, Boulevard Tonnellé, 37044 Tours, France; Faculté de médecine de Tours, université François-Rabelais de Tours, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours, France
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15
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Abstract
Tremor is the most commonly encountered movement disorder in clinical practice. A wide range of pathologies may manifest with tremor either as a presenting or predominant symptom. Considering the marked etiological and phenomenological heterogeneity, it would be desirable to develop a classification of tremors that reflects their underlying pathophysiology. The tremor task force of the International Parkinson Disease and Movement Disorders Society has worked toward this goal and proposed a new classification system. This system has remained a prime topic of scientific communications on tremor in recent times. The new classification is based on two axes: 1. based on the clinical features, history, and tremor characteristics and 2. based on the etiology of tremor. In this article, we discuss the key aspects of the new classification, review various tremor syndromes, highlight some of the controversies in the field of tremor, and share the potential future perspectives.
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Affiliation(s)
- Abhishek Lenka
- Department of Neurology, Medstar Georgetown University Hospital, Washington, DC, United States
| | - Joseph Jankovic
- Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, United States
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Surisetti BK, Prasad S, Holla VV, Neeraja K, Kamble N, Netravathi M, Yadav R, Pal PK. Clinical and Imaging Profile of Patients with Palatal Tremor. Mov Disord Clin Pract 2021; 8:435-444. [PMID: 33816674 DOI: 10.1002/mdc3.13173] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 01/19/2021] [Accepted: 01/30/2021] [Indexed: 12/26/2022] Open
Abstract
Background Palatal tremor (PT) is an uncommon movement disorder that may be classified into symptomatic (SPT) or essential (EPT). The etiology of SPT is varied, with involvement of the Guillain-Mollaret triangle (GMT) and inferior olivary hypertrophy. EPT is associated with ear clicks and normal imaging and may have a functional basis. Objectives This study aims to explore the clinical and radiological features of a large cohort of patients with PT. Methods This is a retrospective chart review of patients with PT who were evaluated by the movement disorders subspeciality of the neurology department. Demographic, clinical, and imaging details of patients with PT were documented. Results A total of 22 patients with PT comprising 17 with SPT and 5 with EPT were included in this study. No patient was aware of the PT. Ear clicks were reported in 2 patients with SPT and in 3 patients with EPT. The most common etiology for SPT was vascular, followed by degenerative conditions. Patients with SPT had associated features such as tremor (70.6%), ataxia (64.7%), dystonia (52.9%), myoclonus (17.6%), and eye movement abnormalities (75%). Lesions involving the GMT were found in 82% of patients with SPT. Apart from PT, patients with EPT had no other motor symptoms, and imaging was normal. Of the patients with EPT, 2 had additional functional movement disorders. Conclusion PT has significant etiological heterogeneity and can be easily missed because of the lack of awareness by patients. Involvement of the inferior olivary nucleus may not be necessarily observed. A functional etiology should be considered in cases of EPT.
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Affiliation(s)
| | - Shweta Prasad
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India.,Department of Clinical Neurosciences National Institute of Mental Health & Neurosciences Bengaluru India
| | - Vikram V Holla
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
| | - Koti Neeraja
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
| | - Nitish Kamble
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
| | - Manjunath Netravathi
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
| | - Ravi Yadav
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
| | - Pramod Kumar Pal
- Department of Neurology National Institute of Mental Health & Neurosciences Bengaluru India
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