An otherwise healthy woman in her late 20s presented with a 1-week history of almost continuous bilateral ear twitching. Onset was spontaneous. There was no previous exposure to neuroleptics nor history of neuropsychiatric disorders. The ear movements were not within voluntary control nor distractible under cognitive load. These movements caused significant distress including poor sleep and headaches. She denied feeling stressed or anxious. The movements stopped during sleep. She denied any tinnitus.