Document Detail

Stapedius muscle myoclonus.
MedLine Citation:
PMID:  12834120     Owner:  NLM     Status:  MEDLINE    
Myoclonus of the middle ear is a very rare condition. We present the case of a 20-year-old soldier who was exposed to intense artillery noise during a fierce battle and immediately afterward complained of an incapacitating tinnitus in both ears. Microscopic examination of the ears demonstrated rapid rhythmic movements of the tympanic membrane coinciding with the tinnitus, which was also easily heard by the examiner. There was no evidence of palatal myoclonus, and thus the diagnosis of middle ear myoclonus was made. Exploratory tympanotomy confirmed the diagnosis of stapedial muscle myoclonus. Bilateral sectioning of the stapedial tendons brought immediate relief of the tinnitus to the patient. We review the literature of middle ear myoclonus and discuss the symptoms, evaluation, and management of this rare condition.
Avishay Golz; Milo Fradis; Dan Martzu; Aviram Netzer; Henry Z Joachims
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  112     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-07-01     Completed Date:  2003-07-24     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  522-4     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Rambam Medical Center, The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
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MeSH Terms
Myoclonus / complications,  physiopathology*,  surgery
Occupational Diseases / complications
Otologic Surgical Procedures / methods
Stapedius / physiopathology*,  surgery
Tinnitus / complications,  surgery
Tympanic Membrane / physiopathology

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