Ear-Clicking Tinnitus Responding to Carbamazepine

To the Editor: This is to report the experience of a 43-year-old male pediatric cardiologist (me) with a most annoying ear clicking, a form of tinnitus, which greatly affected my professional work and puzzled several authorities. This problem responded to treatment with carbamazepine after two middle-ear operations had failed to provide relief. For three years I had a clicking sensation in my right ear that was triggered by inner and outer sounds, even ambient noise. Neurologic, audiologic, and otolaryngologic examinations were unrevealing. On the assumption that the condition was due to a myoclonus in the middle ear, muscle relaxants were …