Essential Palatal Tremor Managed by Cognitive Behavioral Therapy

Background. Essential palatal tremor is a disorder of unknown etiology involving involuntary movement of the uvula and soft palate. Treatment attempts including drugs or surgery have been conducted to cease the rhythmical movement.Case Report. A 55-year-old female visited our department complaining of a sudden, noticeable, intermittent, and rhythmical clicking noise in her throat for five years. Oral examination revealed rhythmical contractions of the soft palate with clicking at the frequency of 120 per min. Magnetic resonance imaging (MRI) examination of the brain performed after consulting with the department of neuropathic internal medicine showed no abnormalities. Thus, essential palatal tremor was diagnosed. The symptoms improved with cognitive behavioral therapy without drugs or surgical treatments. The patient is now able to stop the rhythmical movement voluntarily.Discussion. Cognitive behavioral therapy might be suitable as first-line therapy for essential palatal tremor because the therapy is noninvasive.

Of Meanings and Movements: Re-Languaging Embodiment in Dance Phenomenology and Cognition

One of my favorite childhood memories is from my first dance class. I ran into the studio and started jumping, jumping, jumping literally for joy when I noticed suddenly that I was not alone. There were other children in class, and they were all jumping too. We jumped together, spontaneously in sync, oblivious to what must have been looks of parental incredulity peeking through the door. The teacher stopped us well before anyone fell to the floor but not so soon as to mistake the extraordinary (teachable) moment. Human beings can bond together through rhythmical movement and expressions like joy, and dance is fundamentally about making those connections: to self, to others, to the world, and beyond. In sixty seconds, our little dance community was born.