Spontaneous Resolution of Pharyngeal Myoclonus in a Child: An Uncommon Case With Objective Clicking Sounds

Pharyngeal myoclonus is a rare movement disorder characterized by rhythmic pharyngeal contractions, typically reported in adults with neurological lesions and rarely in children. We report a seven-year-old girl who experienced involuntary clicking sounds localized to the right ear. Nasopharyngoscopy revealed pharyngeal myoclonus without structural abnormalities, and brain and laryngeal MRI were unremarkable. No intervention was performed, and symptoms resolved spontaneously over 12 months, coinciding with increased familial support in response to suspected psychosocial stress. This case highlights the benign, self-limiting nature of pediatric pharyngeal myoclonus and suggests that conservative management may be appropriate, particularly when environmental or psychological factors are the suspected contributors.