Possible Functional Moving Toes Syndrome.
作者信息
Vanegas-Arroyave Nora, Panyakaew Pattamon, Lamichhane Dronacharya, Shulman Lisa, Hallett Mark
机构信息
Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, NY, USA; Human Motor Control Section, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA.
Human Motor Control Section, National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA; Department of Medicine, Faculty of Medicine, Chulalongkorn Center of Excellence on Parkinson Disease and Related Disorders, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2016 Mar 22;6:352. doi: 10.7916/D8CZ36XT. eCollection 2016.
BACKGROUND
Moving toes syndrome has been classically described as an organic movement disorder, on occasion related to peripheral nerve injuries. The association between nerve trauma and movement disorders has become a controversial topic, and the functional etiology of moving toes syndrome has recently been proposed.
CASE REPORT
We describe two cases of moving toes syndrome with clinical features typically suggestive of a functional movement disorder.
DISCUSSION
The presence of entrainability and distractibility in the described patients is an indication of attentional influences on their involuntary movements. However, it is possible that if there is a subcortical origin, the toe movements could be influenced by voluntary commands.
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