ABSTRACT
CASE PRESENTATION A 75-year-old man presented with a 3-year history of involuntary movements consisting of frequent eyelid closure and twitching of the nose. The movements were present throughout the day and were partially suppressible, but he developed an uncomfortable sensation around the nose when attempting to suppress them. The movements were absent in sleep. No sensory tricks could be used to attenuate the movements. The movements started shortly after a fall with injury to his face. Following the fall, he experienced nasal congestion with rhinorrhea and was treated with a variety of decongestants and antihistamines. He then underwent nasal septal surgery. The movements did not vary in location, frequency, or severity over the 3 years.
