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Neurological rarities
Painful legs and moving toes
  1. Igor de Assis Franco1,
  2. Thiago Cardoso Vale2,
  3. Vitor Henrique Schulze3,
  4. Marcus Vinicius Magno Goncalves3
  1. 1 Department of Neurology, Hospital e Maternidade São José, Conselheiro Lafaiete, Brazil
  2. 2 Department of Internal Medicine, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
  3. 3 Department of Neurology, Universidade da Região de Joinville, Joinville, Brazil
  1. Correspondence to Dr Igor de Assis Franco, Department of Neurology, Hospital e Maternidade São José, Conselheiro Lafaiete 36400000, Brazil; igorafranco1{at}gmail.com

Abstract

A 40-year-old woman reported involuntary and irregular movements of her left toes accompanied by pain. This arose following arthroscopy after a sprained left ankle. She had involuntary flexion–extension and abduction and adduction movements of the hallux and the other toes, with reduced pinprick sensation on the skin web between the left hallux and the second toe. Nerve conduction studies confirmed a deep peroneal nerve axonal injury. We diagnosed the syndrome of painful legs and moving toes, provoked by a peripheral nerve injury. Her symptoms have persisted despite pregabalin, gabapentin and amitriptyline.

  • movement disorders
  • orthopaedics

https://doi.org/10.1136/practneurol-2021-002958

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    Footnotes

    • Contributors IDAF contributed to data collection, first draft and review of the manuscript. TCV contributed to first draft and review of the manuscript. VHS contributed to data collection, first draft. MVMG contributed to data collection, first draft and review of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned. Externally peer reviewed by Haider Katifi, Southampton, UK.