Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Mov Disord. 2009 May;2(1):40-2. doi: 10.14802/jmd.09010. Epub 2009 Apr 30.
Painless legs and moving toes is an unusual syndrome, which has not previously been reported as an initial presentation of ischemic stroke. We encountered a 78-year-old woman who developed dysarthria and involuntary movement of her left toes that was clinically regarded as painless legs and moving toes. These symptoms appeared abruptly and simultaneously as the initial symptoms of stroke, and improved gradually with conservative management by intravenous hydration for a month. We suggest that, in our case, a cortical brain lesion caused by ischemic stroke might be associated with the development of painless legs and moving toes.
无痛性下肢和活动脚趾是一种不常见的综合征，以前从未有过作为缺血性脑卒中初始表现的报道。我们遇到一位 78 岁的女性，她出现构音障碍和左侧脚趾不自主运动，临床上被认为是无痛性下肢和活动脚趾。这些症状突然同时出现，是脑卒中的初始症状，经过一个月的静脉补液保守治疗后逐渐改善。我们推测，在我们的病例中，由缺血性脑卒中引起的皮质脑病变可能与无痛性下肢和活动脚趾的发生有关。
