Bilateral palatal myoclonus.

Palatal myoclonus is a relatively rare cause of objective tinnitus. Usually noted in young and middle aged adults, it is occasionally seen in both the older and younger population. The diagnosis of this entity is not difficult and can be made during a routine office evaluation. Such evaluation is aided by the use of the impedance audiometer and the fiberoptic nasopharyngoscope. Thorough evaluation of the patient is required to rule out the multiple possible causes of this entity. Furthermore, no completely successful method of treatment has been described, with therapy including many different medical and surgical modalities, as well as the possibility of spontaneous resolution.