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These complaints were associated with fever, cough and nasal discharge, and the patient received a diagnosis of uncomplicated cold. At the emergency department, he was given a single dose of diazepam orally, which achieved complete resolution of the tremor. Two months later, the patient returned to the department with a new episode of similar characteristics, also in the context of a cold.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The diagnosis of EPM is clinical, although it requires ruling out secondary palatal myoclonus (which is less frequent in the paediatric age group) due to trauma, tumours, ischaemia, infection or demyelinating disorders. Essential palatal myoclonus may resolve spontaneously or with the use of a variety of treatments, such as benzodiazepines, carbamazepine, valproic acid or injections of botulinum toxin.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-02-01" "fechaAceptado" => "2023-02-11" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0025" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:1 [ 0 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 662235 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Essential palatal myoclonus following dental surgery: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.H. Lam" 1 => "M.E. Fullarton" 2 => "A. Bennett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1752-1947-7-241" "Revista" => array:5 [ "tituloSerie" => "J Med Case Rep" "fecha" => "2013" "volumen" => "7" "paginaInicial" => "241" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24124695" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mioclonía palatina esencial. Reporte de un caso pediátrico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Spini" 1 => "D. Cohen" 2 => "M. Juchli" 3 => "L. Ibarra" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5546/aap.2021.e54" "Revista" => array:7 [ "tituloSerie" => "Arch Argent Pediatr" "fecha" => "2021" "volumen" => "119" "numero" => "1" "paginaInicial" => "e54" "paginaFinal" => "e57" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33458992" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Palatal tremor - pathophysiology, clinical features, investigations, management and future challenges" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Bhattacharjee" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Tremor Other Hyperkinet Mov (NY)" "fecha" => "2020" "volumen" => "10" "numero" => "1" "paginaInicial" => "40" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000009900000002/v2_202403140552/S2341287923001564/v2_202403140552/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000009900000002/v2_202403140552/S2341287923001564/v2_202403140552/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923001564?idApp=UINPBA00005H" ]
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