The syndrome of painful legs and moving toes.
Identifieur interne : 004684 ( Ncbi/Curation ); précédent : 004683; suivant : 004685The syndrome of painful legs and moving toes.
Auteurs : D. Dressler [Royaume-Uni] ; P D Thompson ; R F Gledhill ; C D MarsdenSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1994.
English descriptors
- KwdEn :
- Adult, Afferent Pathways (injuries), Afferent Pathways (physiopathology), Aged, Cauda Equina (injuries), Cauda Equina (physiopathology), Electromyography, Female, Herpes Zoster (complications), Herpes Zoster (physiopathology), Humans, Leg (innervation), Male, Middle Aged, Muscles (innervation), Neurologic Examination, Neuromuscular Diseases (etiology), Neuromuscular Diseases (physiopathology), Paresthesia (etiology), Paresthesia (physiopathology), Peripheral Nerve Injuries, Peripheral Nerves (physiopathology), Peripheral Nervous System Diseases (physiopathology), Reflex Sympathetic Dystrophy (etiology), Reflex Sympathetic Dystrophy (physiopathology), Restless Legs Syndrome (etiology), Restless Legs Syndrome (physiopathology), Spinal Cord Injuries (complications), Spinal Cord Injuries (physiopathology), Spinal Nerve Roots (injuries), Spinal Nerve Roots (physiopathology), Toes (innervation).
- MESH :
- complications : Herpes Zoster, Spinal Cord Injuries.
- etiology : Neuromuscular Diseases, Paresthesia, Reflex Sympathetic Dystrophy, Restless Legs Syndrome.
- injuries : Afferent Pathways, Cauda Equina, Spinal Nerve Roots.
- innervation : Leg, Muscles, Toes.
- physiopathology : Afferent Pathways, Cauda Equina, Herpes Zoster, Neuromuscular Diseases, Paresthesia, Peripheral Nerves, Peripheral Nervous System Diseases, Reflex Sympathetic Dystrophy, Restless Legs Syndrome, Spinal Cord Injuries, Spinal Nerve Roots.
- Adult, Aged, Electromyography, Female, Humans, Male, Middle Aged, Neurologic Examination, Peripheral Nerve Injuries.
Abstract
The clinical presentation, symptoms, and signs in 20 new patients with the painful legs and moving toes syndrome are presented. Painful legs and moving toes may develop in the setting of spinal cord and cauda equina trauma, lumbar root lesions, injuries to bony or soft tissues of the feet, and peripheral neuropathy. In 4 of the 20 cases in the present study, no definite cause was found. Pain preceded the onset of toe movements in 18 cases, but in 2 the reverse sequence occurred. The pain had many of the characteristics of causalgia, but none of the patients exhibited the full picture of reflex sympathetic dystrophy, and peripheral trauma was the trigger in only 5 cases. Several patients reported that the occurrence of toe movements was closely related to the pain, although abolition of pain with lumbar sympathetic blocks was not necessarily associated with disappearance of the movements. Several features suggest a central origin for the movements. Symptoms may begin on one side and become bilateral; movements may be momentarily suppressed by voluntary action or exacerbated by changing posture; and electromyography reveals complex patterns of rhythmic activity with normal recruitment of motor units involving several myotomes. Three other patients with similar moving toes but no pain are also described. The occurrence of similar movements in the absence of pain raises the possibility that these cases represent examples at one end of a spectrum of disorders, with pain alone (causalgia) at the other end and the syndrome of painful legs and moving toes in between.(ABSTRACT TRUNCATED AT 250 WORDS)
DOI: 10.1002/mds.870090104
PubMed: 7511213
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Dressler</name><affiliation wicri:level="2"><nlm:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, London, England.</nlm:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>MRC Human Movement and Balance Unit, Institute of Neurology, London</wicri:cityArea></affiliation></author><author><name sortKey="Thompson, P D" sort="Thompson, P D" uniqKey="Thompson P" first="P D" last="Thompson">P D Thompson</name></author><author><name sortKey="Gledhill, R F" sort="Gledhill, R F" uniqKey="Gledhill R" first="R F" last="Gledhill">R F Gledhill</name></author><author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1994">1994</date><idno type="RBID">pubmed:7511213</idno><idno type="pmid">7511213</idno><idno type="doi">10.1002/mds.870090104</idno><idno type="wicri:Area/PubMed/Corpus">004B74</idno><idno type="wicri:Area/PubMed/Curation">004B74</idno><idno type="wicri:Area/PubMed/Checkpoint">004A53</idno><idno type="wicri:Area/Ncbi/Merge">004684</idno><idno type="wicri:Area/Ncbi/Curation">004684</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The syndrome of painful legs and moving toes.</title><author><name sortKey="Dressler, D" sort="Dressler, D" uniqKey="Dressler D" first="D" last="Dressler">D. Dressler</name><affiliation wicri:level="2"><nlm:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, London, England.</nlm:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>MRC Human Movement and Balance Unit, Institute of Neurology, London</wicri:cityArea></affiliation></author><author><name sortKey="Thompson, P D" sort="Thompson, P D" uniqKey="Thompson P" first="P D" last="Thompson">P D Thompson</name></author><author><name sortKey="Gledhill, R F" sort="Gledhill, R F" uniqKey="Gledhill R" first="R F" last="Gledhill">R F Gledhill</name></author><author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1994" type="published">1994</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Afferent Pathways (injuries)</term><term>Afferent Pathways (physiopathology)</term><term>Aged</term><term>Cauda Equina (injuries)</term><term>Cauda Equina (physiopathology)</term><term>Electromyography</term><term>Female</term><term>Herpes Zoster (complications)</term><term>Herpes Zoster (physiopathology)</term><term>Humans</term><term>Leg (innervation)</term><term>Male</term><term>Middle Aged</term><term>Muscles (innervation)</term><term>Neurologic Examination</term><term>Neuromuscular Diseases (etiology)</term><term>Neuromuscular Diseases (physiopathology)</term><term>Paresthesia (etiology)</term><term>Paresthesia (physiopathology)</term><term>Peripheral Nerve Injuries</term><term>Peripheral Nerves (physiopathology)</term><term>Peripheral Nervous System Diseases (physiopathology)</term><term>Reflex Sympathetic Dystrophy (etiology)</term><term>Reflex Sympathetic Dystrophy (physiopathology)</term><term>Restless Legs Syndrome (etiology)</term><term>Restless Legs Syndrome (physiopathology)</term><term>Spinal Cord Injuries (complications)</term><term>Spinal Cord Injuries (physiopathology)</term><term>Spinal Nerve Roots (injuries)</term><term>Spinal Nerve Roots (physiopathology)</term><term>Toes (innervation)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Herpes Zoster</term><term>Spinal Cord Injuries</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Neuromuscular Diseases</term><term>Paresthesia</term><term>Reflex Sympathetic Dystrophy</term><term>Restless Legs Syndrome</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Afferent Pathways</term><term>Cauda Equina</term><term>Spinal Nerve Roots</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Leg</term><term>Muscles</term><term>Toes</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Afferent Pathways</term><term>Cauda Equina</term><term>Herpes Zoster</term><term>Neuromuscular Diseases</term><term>Paresthesia</term><term>Peripheral Nerves</term><term>Peripheral Nervous System Diseases</term><term>Reflex Sympathetic Dystrophy</term><term>Restless Legs Syndrome</term><term>Spinal Cord Injuries</term><term>Spinal Nerve Roots</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Electromyography</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Peripheral Nerve Injuries</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The clinical presentation, symptoms, and signs in 20 new patients with the painful legs and moving toes syndrome are presented. Painful legs and moving toes may develop in the setting of spinal cord and cauda equina trauma, lumbar root lesions, injuries to bony or soft tissues of the feet, and peripheral neuropathy. In 4 of the 20 cases in the present study, no definite cause was found. Pain preceded the onset of toe movements in 18 cases, but in 2 the reverse sequence occurred. The pain had many of the characteristics of causalgia, but none of the patients exhibited the full picture of reflex sympathetic dystrophy, and peripheral trauma was the trigger in only 5 cases. Several patients reported that the occurrence of toe movements was closely related to the pain, although abolition of pain with lumbar sympathetic blocks was not necessarily associated with disappearance of the movements. Several features suggest a central origin for the movements. Symptoms may begin on one side and become bilateral; movements may be momentarily suppressed by voluntary action or exacerbated by changing posture; and electromyography reveals complex patterns of rhythmic activity with normal recruitment of motor units involving several myotomes. Three other patients with similar moving toes but no pain are also described. The occurrence of similar movements in the absence of pain raises the possibility that these cases represent examples at one end of a spectrum of disorders, with pain alone (causalgia) at the other end and the syndrome of painful legs and moving toes in between.(ABSTRACT TRUNCATED AT 250 WORDS)</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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