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Images in Neurology
September 28, 2020

Ultrasonography Evaluation of Bilateral Focal Auricular Dyskinesia

Author Affiliations
  • 1Department of Rehabilitation Medicine, Changi General Hospital, Singapore
  • 2Ministry of Health Holdings, Singapore
JAMA Neurol. 2021;78(1):114. doi:10.1001/jamaneurol.2020.3352

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.

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1 Comment for this article
Include EEG
Hassan Alayafi, FRCPC | King Abdulaziz Medical city -Riyadh
Very interesting and rare presentation, and very well done; however, it would be very interesting if EEG were done to rule out focal rare epileptic seizure.  Unlikely, but it would complete the picture, particularly if there is partial response to clonazepam, which has antiepileptic effect.