Post-traumatic Hypertrophic Olivary Degeneration with Palatal Myoclonus-A Case Report.

J Child NeurolMar 3, 2026 (epub)
Case ReportNeurology

Katherine Bailey, Jacob T Hanson, Suad Khalil

✦ AI-curated · Sources linked

Case in brief

A 7-year-old boy developed right-sided lip, palatal, and neck quivering and twitching two years after a motor vehicle accident. Several antiseizure medications did not help, but carbamazepine was followed by marked improvement. EEG captured the facial movements and audible palatal clicking without associated electrographic changes. Brain MRI findings were suggestive of hypertrophic olivary degeneration (HOD), consistent with injury involving the Guillain-Mollaret triangle and palatal myoclonus.

What made this case unusual

The authors’ literature review found no previous report of post-traumatic HOD in a person under 18; they identified one other reported post-traumatic case, in a 27-year-old man.

Diagnostic / clinical pearl

Palatal clicking and facial twitching may occur without an EEG correlate; MRI findings suggestive of HOD can support a structural explanation after trauma involving the Guillain-Mollaret triangle.

Source

PubMed · PMID 41773572

Published in J Child Neurol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

ShareTelegramLinkedIn

AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

More in Neurology

Clinical ResearchPreventive Medicine / Public Health

2025 National Guidelines on the Mediterranean Diet: Executive Summary of a Joint Report by Italian Scientific Societies and the National Institute of Health Task Force on Clinical Practice Guidelines.

This systematic review and practice guideline, developed by a multidisciplinary panel using NUTRIGRADE, assessed Mediterranean diet evidence across nine health domains and one economic domain.

Nutr RevNov 12, 2026Read summary
Clinical ResearchOrthopedic Surgery

Prevention of Venous Thromboembolism after Total Hip or Knee Replacement.

This multicenter randomized comparative-effectiveness noninferiority trial compared 30 days of aspirin, warfarin, or rivaroxaban for VTE prophylaxis after elective total hip or knee arthroplasty.

N Engl J MedNov 12, 2026Read summary
Clinical ResearchAnesthesiology

Effect of discontinuing antihypertensives on perioperative hypotension in older patients before non-cardiac surgery: multicentre, randomised, double blind, controlled trial.

This multicentre, randomised, double blind, placebo controlled trial assessed whether withholding ACE inhibitors or ARBs on the morning of surgery reduces perioperative hypotension in older adults undergoing non-cardiac…

BMJNov 11, 2026Read summary

Want this personalized?

Stop searching the literature. Choose what you follow and xxcode will build your personalized medical digest.

  • Your specialties
  • Your filters and thresholds
  • Clinical Research + Case Reports, tuned separately
  • Automatic weekly delivery
  • Audio and text
Create my personalized digestSee plans

Prefer listening? Personalized audio digests are available with Pro.

Stay updated for free

Get the 3 most interesting publications in one specialty each week.

Weekly email. Unsubscribe anytime.