Jaw Tremors Linked to Neck Artery Pulsations - Neurology

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Hello Doctor: Recently, I have noticed that when I open my mouth and move it side to side, the carotid artery in my neck pulsates continuously, causing my mouth to tremble as well.

A-Lun, 20~29 year old female. Ask Date: 2020/09/23

Dr. Cai Zongzhang reply Neurology


Hello: It is recommended to visit the neurology outpatient clinic for examination.

Reply Date: 2020/09/23

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Jaw tremors that coincide with neck artery pulsations can be concerning and may indicate a few underlying issues. The phenomenon you are experiencing, where your jaw moves or trembles in sync with the pulsations of your neck arteries, could be attributed to several factors, including vascular, neurological, or muscular conditions.

Firstly, it's essential to understand that the neck arteries, particularly the carotid arteries, are responsible for supplying blood to the brain. When these arteries pulsate, they can create a sensation or visible movement in nearby structures, including the muscles of the jaw. If there is heightened sensitivity or tension in the muscles around the jaw, this could lead to tremors or involuntary movements that appear to be synchronized with the arterial pulsations.

One possible explanation for your symptoms could be related to muscle spasms or hyperactivity. The muscles of the jaw (the masseter and temporalis muscles) can sometimes react to stress, anxiety, or even physical strain, leading to tremors or twitching. If you are experiencing any stress or have been clenching your jaw, this could exacerbate the tremors.

Another consideration is the possibility of a neurological condition. Certain disorders, such as essential tremor or dystonia, can cause involuntary movements in various parts of the body, including the jaw. Essential tremor is a common movement disorder that can cause rhythmic shaking, particularly during voluntary movements. Dystonia, on the other hand, involves sustained muscle contractions that can lead to abnormal postures or movements.

Additionally, vascular issues could be at play. If there is any form of vascular compression or irritation of the nerves that innervate the jaw muscles, this could lead to tremors. Conditions such as carotid artery dissection or vascular malformations could potentially affect the surrounding structures and lead to unusual symptoms.

Given the complexity of your symptoms, it is crucial to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, imaging studies such as ultrasound or MRI, and possibly referral to a neurologist for further assessment. They may want to investigate the vascular status of your neck arteries and assess for any neurological involvement.

In the meantime, it may be helpful to monitor your symptoms closely. Take note of any triggers that seem to exacerbate the tremors, such as stress, fatigue, or specific movements. Keeping a symptom diary can provide valuable information to your healthcare provider.

In summary, jaw tremors linked to neck artery pulsations can arise from various causes, including muscular tension, neurological disorders, or vascular issues. A comprehensive evaluation by a healthcare professional is essential to determine the underlying cause and appropriate treatment. If you experience any additional symptoms, such as pain, weakness, or changes in sensation, seek medical attention promptly.

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