Stapedial Myoclonus

Stapedial Myoclonus Treatment in London

Rapid clicking or buzzing from the ear can be unsettling, but stapedial myoclonus commonly reflects brief muscle spasms rather than serious disease. Urgent audiovestibular assessment is advised if sounds start suddenly after injury, worsen quickly, or occur with new hearing loss, persistent vertigo, facial weakness, severe ear pain, or neurological symptoms present.

Involuntary Stapedius Muscle Activity

An Overview of Stapedial Myoclonus

Stapedial myoclonus is a specific form of middle ear myoclonus caused by involuntary contractions of the stapedius muscle. This tiny muscle normally stabilises hearing during loud sounds. When it contracts irregularly, it can create rapid clicking, buzzing, or fluttering noises that may come and go.

Symptoms often fluctuate and may be influenced by stress, fatigue, or heightened sound sensitivity. Although the sensations can feel intrusive, the condition is usually benign. Accurate diagnosis matters, as similar sounds can arise from other middle-ear or vascular sources, and management depends on confirming the exact muscle involvement through careful clinical assessment and testing by experienced audiovestibular clinicians alone here.

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Soydan Osman
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I was seen by audiologist and Dr Arun, they were attentive, caring and took time to listen and adaptations were made throughout the appointment to support my anxiety and claustrophobia. This made a significant difference and genuinely helped me through the audiology testing. I gave an explanation of my current symptoms to Dr Arun he displayed great listening, compassion and understanding. The treatment I received on the day has greatly improved my symptoms, the one reassuring thing is any follow up is required is knowing that I will be in safe hands. I received my clinic letter promptly. After care queries handled by the admin team was exceptional, prompt and helpful. Overall the service was impeccable.
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Diana Granados
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I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.
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erika thomazi
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Great positive experience!
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Carol Bunyan
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I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.
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Ged Robinson
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Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.
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Adrian Lowe
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I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!
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Evan
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Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.
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shahram zarafshan
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Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.
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Vasile Baltac
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I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.

Pinpointing the Cause

Diagnosing Middle Ear Myoclonus

When to Get Checked

You should get assessed if clicking or buzzing begins suddenly, becomes frequent, or is audible to others. New symptoms after ear infection, surgery, significant illness, or head injury should prompt audiovestibular review.

You should seek urgent assessment if the sounds worsen rapidly or occur with sudden hearing loss, persistent vertigo, facial weakness, severe ear pain, neurological symptoms, or severe headache. Early review helps exclude uncommon causes and guide appropriate care without unnecessary delay or anxiety for patients.

Gen, Stapedius Myoclonus Assessment & Diagnosis in London

How We Assess Stapedial Myoclonus

At Harley Audiovestibular Clinic, assessment begins with extended time spent with a senior audiovestibular consultant. We explore the sound’s pattern, frequency, triggers, and whether it can be heard externally. We review hearing changes, ear symptoms, stress, medical history, medications, and recent infection or injury.

From this consultation, we plan targeted investigations. These may include detailed hearing assessment, middle-ear analysis, and observation during symptoms to confirm muscle activity. Where appropriate, we recommend further tests or imaging. Findings help confirm the diagnosis, exclude alternative causes, and inform proportionate management, with clear explanations and agreed next steps for patients based solely on clinical findings and context.

Clinician examining a patient's ear with an otoscope at Harley Street AVM
Harley Street AVM clinic reception and waiting area for audiovestibular patients

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Specialist Care for Stapedial Myoclonus

Every Stapedial Myoclonus case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.

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