SUCCESSFUL TREATMENT OF HEREDITARY TREMBLING CHIN WITH BOTULINUM TOXIN

Hereditary trembling chin is an autosomal dominant condition character ized by recurrent bouts of tremor involving the chin. These episodes a re precipitated by emotional upset. There has been considerable debate about the gravity of this condition. This may be a benign movement di sorder; however, the rhythmic trembling of mentalis at rest or during times of stress in these patients is often misinterpreted as betraying an incipient emotional upset. For this reason, some patients with thi s condition may find it socially disabling. We have recently successfu lly treated one such family with regular botulinum toxin injections to the mentalis muscle.