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Patients with palatal myoclonus may suffer from pulsatile tinnitus stemming from involuntary contractions of tensor veli palatini and levator veli palatini muscles. Botulinum toxin (BTX) injection to these muscles is effective in resolving pulsatile tinnitus symptom. We present a case of pulsatile tinnitus who was effectively treated with BTX injection under an electromyography guidance as an office procedure.doi:10.1016/j.ejenta.2016.06.002 fatcat:rgpjk5kpbbfxrmau77sdkibswm