A series of involuntary movements lasted for several seconds and repeated. The right side of her tongue seemed to protrude and eventually deviated from midline to the left, while the patient was awake accompanied by the tremulous movement of her jaw. Therefore, we should pay more attention to it and try to treat it earlier.Įpisodic involuntary tongue movement. Episodic movements involving tongue decrease the quality of daily life especially in the elderly. The etiology of this movement was presumed as focal seizure, palatal tremor, dyskinesia or others, but was undetermined. This episodic tongue movement would be rare in terms of the clear laterality. Paroxysmal tongue movements were previously reported in cases of epilepsy, brain tumor, and stroke, observed bilaterally in most cases. Although antiepileptic drug therapy was effective, we needed polytherapy to control this movement. These are no longer available any more, but they are immortalized in my memory. Despite her tongue movements seemingly developing to the generalized convulsion, EEG study did not indicate epileptiform discharges corresponding to this movement. now-defunct Sky Room on Park Street, almost tremulous on ones tongue. MR imaging study revealed brain atrophy in the bilateral mesial temporal lobe, consistent with senile dementia of Alzheimer type. Tremor is one of the most common involuntary movement disorders seen in clinical practice. She could not eat or speak during this episodic tongue movement. Both als specialists were adamant that tremors on the tongue have nothing to do with als and that it’s quite normal for some. Emg on it as well after noticing it for 5 months. It is a labour of lovelessness, literally littered with liberally literary alliteration, pungent with puns and pugilistically pulsing purple prose, a muscular mire of mixed metaphors that at times. When she was admitted to our emergency room due to status epilepticus, her tongue intermittently moved from the midline to the left. Everytime I stick it out it looks like twitches but all the neuros called it tremulous tongue not actual fasiculations. She could independently walk and eat meals until 8 months ago, however she turned into bedridden. We report a 93-year-old woman with dementia who developed generalized convulsion and involuntary movement of her tongue. 1)ġ)Department of Neurology, Otsu Red Cross HospitalĢ)Department of Neurology, Kyoto University School of Medicine Brief Clinical Note A case of an elderly woman with dementia showing episodic involuntary movement of the tongue
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