Radiofrequency ablation in the treatment of idiopathic bilateral palatal myoclonus: a new indication

Ann Otol Rhinol Laryngol. 2006 Nov;115(11):824-6. doi: 10.1177/000348940611501105.

Abstract

Objectives: We tested the effect of radiofrequency ablation in the treatment of palatal myoclonus refractory to other therapeutic regimens.

Methods: A 20-year-old patient who presented with palatal myoclonus and annoying rhythmic objective clicking noise was treated with a radiofrequency generator with topical and local anesthesia in an outpatient setting.

Results: The clicking noise was abolished within 3 to 4 days of the radiofrequency ablation. The rhythmic, jerky movements of the soft palate were confirmed to be absent 2 weeks later with electromyographic studies. The patient has been symptom-free for 6 months, and no side effects have occurred.

Conclusions: As a new indication, radiofrequency ablation may effectively abolish abnormal movements of the soft palate and relieve associated tinnitus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheter Ablation / methods*
  • Electromyography
  • Female
  • Follow-Up Studies
  • Humans
  • Myoclonus / physiopathology
  • Myoclonus / surgery*
  • Palate, Soft / physiopathology
  • Palate, Soft / surgery*