Ludolph AG, Roessner V, Münchau A, Müller-Vahl K. Abnormal movements in critical care patients with brain injury: a diagnostic approach. Hannawi Y, Abers MS, Geocadin RG, Mirski MA. Hemifacial spasm: conservative and surgical treatment options. Rosenstengel C, Matthes M, Baldauf J, Fleck S, Schroeder H. Psychogenic facial movement disorders: clinical features and associated conditions. Substance of abuse and movement disorders: complex interactions and comorbidities. Another perspective on fasciculations: when is it not caused by the classic form of amyotrophic lateral sclerosis or progressive spinal atrophy?. Leite MA, Orsini M, de Freitas MR, et al. The clinical toxicology of caffeine: a review and case study. More recently, patients who have undergone injections of botulinum toxin or clonazepam have experienced a complete resolution of symptoms with no adverse effects.Willson C. ![]() ![]() Historically, several treatments have been used with various outcomes. But if the tremors persist and impact the quality of life or the patient’s ability to perform daily tasks or if it becomes socially disabling, the doctor may recommend certain medications. In some cases, the trembling will often dissipate without intervention. Geniospasm is often described as a benign condition and if the quivering is mild, treatment may not be needed. Some of these other tests might include a blood test and an MRI scan of the brain. Doctors tend to evaluate the patient’s symptoms, ask about family medical histories, ask about any medications, perform a physical examination, and do some tests to rule out other conditions. Is there an effective treatment for geniospasm?īecause the pathophysiology is poorly understood and limited data exists, guidance on prognosis and management strategies for geniospasm are difficult. Symptoms can be mild or include more irksome and frequent chin movements with involuntary tongue biting and lacerations. Episodes may occur during sleep or waking hours and can last from a few seconds to a few hours. Episodes of trembling can be brought on by stress, emotion, or occur spontaneously. The syndrome is often characterized by episodic, high-frequency contraction of the mentalis muscle. The pathophysiology of geniospasm is not fully understood. Synonyms used for this rare condition include trembling chin and hereditary chin tremor, but it must be differentiated from palatal tremor, facial myokymia, and essential tremor affecting facial muscles. ![]() But some teens and adults have also presented signs of the condition. Usually, the condition first appears in infancy and early childhood and then lessens with age. The rare genetic disorder is characterized by involuntary repetitive tremors of the chin and lower lip with no other evidence of a nervous system abnormality. Geniospasm was first described by Massaro in Italian literature in 1894 and has since been reported in fewer than 50 families worldwide. Geniospasm is just one condition of many. But why is the chin quivering? Is there something more to worry about? With several possible diagnoses, it is important to figure out the type of condition and possible treatment options. The spontaneous quivering of the jaw can make daily activities difficult.
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