Hello Doctors, I am a 30-year-old male from Kalyani, West Bengal, experiencing recurrent episodes of fluttering, vibrating and thumping sensations inside my ears, which feel like involuntary muscle contractions. I suspect middle ear myoclonus (MEM), possibly involving the tensor tympani or stapedius muscle. My symptoms began in 2023. They improved considerably during 2024–2025, but I have experienced recurrent episodes since then, affecting both ears. The symptoms are intermittent and can involve: - Fluttering, rapid vibrations or thumping sensations inside the ear. - Involuntary muscle spasms that sometimes occur after waking up, yawning or hiccupping. - Occasional episodes affecting either ear, sometimes both. - Periods of improvement followed by unexpected relapses.