Neurol Case Rep | Volume 3, Issue 2 | Clinical Video Article | Open Access

Perioral Twitching during Smiling - A Rare form of Essential Tremor

Lea Pollak^*

Department of Neurology, Neurological Clinic, Kupat Cholim Macabi, Israel

^*Correspondance to: Lea Pollak 

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Abstract

Involuntary movements of facial muscles such as jaw tremor, oromandibular dyskinesia, dystonia, facial myoclonus or hemifacial spasm are common in clinical practice. A 52-year old woman with a 15 year history of upper limb tremor complained of recent spread of the tremor to her face. On examination a moderate kinetic and action, mildly asymmetric tremor of the arms was present. On voluntary and spontaneous smiling bilateral twitching of the buccal muscles was observed.

Keywords:

Periorbital twitching; Essential tremor; Tardive dyskinesia

Citation:

Pollak L. Perioral Twitching during Smiling - A Rare form of Essential Tremor. Neurol Case Rep. 2020;3(2):1020..