Case series of painful legs and moving toes: Clinical and electrophysiologic observations
Identifieur interne : 002955 ( Main/Exploration ); précédent : 002954; suivant : 002956Case series of painful legs and moving toes: Clinical and electrophysiologic observations
Auteurs : Maria V. Alvarez [États-Unis] ; Erika E. Driver-Dunckley [États-Unis] ; John N. Caviness [États-Unis] ; Charles H. Adler [États-Unis] ; Virgilio Gerald H. Evidente [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-10-30.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Electromyography (methods), Electrophysiology, Female, Finger, Hand, Humans, Leg (physiopathology), Male, Middle Aged, Movement Disorders (drug therapy), Movement Disorders (physiopathology), Nervous system diseases, PLMT, Pain, Pain (drug therapy), Pain (etiology), Pain (pathology), Pain (physiopathology), Retrospective Studies, Toe, Toes (physiopathology), painful hands and moving fingers, painful legs and moving toes, painless hands and moving fingers, painless legs and moving toes.
- MESH :
- drug therapy : Movement Disorders, Pain.
- etiology : Pain.
- methods : Electromyography.
- pathology : Pain.
- physiopathology : Leg, Movement Disorders, Pain, Toes.
- Adult, Aged, Aged, 80 and over, Electrophysiology, Female, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
We present a retrospective review of cases of painful legs and moving toes (PLMT) syndrome. Out of 4,780 database patients with movement disorders diagnosed at Mayo Clinic Arizona from 1996 to 2006, we identified 14 cases of PLMT and its variants (6 men, 8 women). Ages ranged from 25 to 84 years (mean, 69 years). Movements were bilateral in 12 and unilateral in 2. Pain preceding the movements was most commonly burning; movements consisted of flexion/extension, abduction/adduction, fanning, or clawing of toes, fingers, and sometimes the foot or hand. The most common predisposing factors were neuropathy and radiculopathy. Surface electromyography showed movements suggestive of both chorea and dystonia. Movements were partially suppressible and were diminished but still apparent during light sleep. GABAergic agents were most effective in controlling the pain and the movements. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22272
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-10-30">2008-10-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">14</biblScope><biblScope unit="page" from="2062">2062</biblScope><biblScope unit="page" to="2066">2066</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">9E472576A847F5A9B5BA06DA17C946FF95950173</idno><idno type="DOI">10.1002/mds.22272</idno><idno type="ArticleID">MDS22272</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Electromyography (methods)</term><term>Electrophysiology</term><term>Female</term><term>Finger</term><term>Hand</term><term>Humans</term><term>Leg (physiopathology)</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (drug therapy)</term><term>Movement Disorders (physiopathology)</term><term>Nervous system diseases</term><term>PLMT</term><term>Pain</term><term>Pain (drug therapy)</term><term>Pain (etiology)</term><term>Pain (pathology)</term><term>Pain (physiopathology)</term><term>Retrospective Studies</term><term>Toe</term><term>Toes (physiopathology)</term><term>painful hands and moving fingers</term><term>painful legs and moving toes</term><term>painless hands and moving fingers</term><term>painless legs and moving toes</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Movement Disorders</term><term>Pain</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Electromyography</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Leg</term><term>Movement Disorders</term><term>Pain</term><term>Toes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Electrophysiology</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Doigt</term><term>Douleur</term><term>Main</term><term>Orteil</term><term>Pathologie du système nerveux</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We present a retrospective review of cases of painful legs and moving toes (PLMT) syndrome. Out of 4,780 database patients with movement disorders diagnosed at Mayo Clinic Arizona from 1996 to 2006, we identified 14 cases of PLMT and its variants (6 men, 8 women). Ages ranged from 25 to 84 years (mean, 69 years). Movements were bilateral in 12 and unilateral in 2. Pain preceding the movements was most commonly burning; movements consisted of flexion/extension, abduction/adduction, fanning, or clawing of toes, fingers, and sometimes the foot or hand. The most common predisposing factors were neuropathy and radiculopathy. Surface electromyography showed movements suggestive of both chorea and dystonia. Movements were partially suppressible and were diminished but still apparent during light sleep. GABAergic agents were most effective in controlling the pain and the movements. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Arizona</li></region></list><tree><country name="États-Unis"><region name="Arizona"><name sortKey="Alvarez, Maria V" sort="Alvarez, Maria V" uniqKey="Alvarez M" first="Maria V." last="Alvarez">Maria V. Alvarez</name></region><name sortKey="Adler, Charles H" sort="Adler, Charles H" uniqKey="Adler C" first="Charles H." last="Adler">Charles H. Adler</name><name sortKey="Caviness, John N" sort="Caviness, John N" uniqKey="Caviness J" first="John N." last="Caviness">John N. Caviness</name><name sortKey="Driver Unckley, Erika E" sort="Driver Unckley, Erika E" uniqKey="Driver Unckley E" first="Erika E." last="Driver-Dunckley">Erika E. Driver-Dunckley</name><name sortKey="Evidente, Virgilio Gerald H" sort="Evidente, Virgilio Gerald H" uniqKey="Evidente V" first="Virgilio Gerald H." last="Evidente">Virgilio Gerald H. Evidente</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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