Painful legs and moving toes syndrome associated with lumbar radiculopathy

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Rev Neurol (Paris). 2009 May 14.

Painful legs and moving toes syndrome associated with lumbar radiculopathy

El Otmani H, Moutaouakil F, Fadel H, Slassi I.

Service de neurologie, hôpital Al Kortobi, 90000 Tanger, Maroc.

INTRODUCTION: Painful legs and moving toes (PLMT) is a rare syndrome

characterized by spontaneous neuropathic pain in the lower limbs associated with

peculiar involuntary movements of the toes. It has been associated with a

variety of peripheral and central nervous system diseases. Pathophysiology is

unclear and treatment approaches remain largely empirical.

CLINICAL CASE: We report a case of a 42-year-old women with typical presentation

of PLMT syndrome, associated with lumbar (L(5)) disc prolapse. Oxcarbazepine

(Trileptal) gave a partial improvement.

CONCLUSION: Clinical presentations and etiological aspects of the PLMT syndrome

are described and pathophysiological mechanisms and therapeutic possibilities

discussed.