Possible Functional Moving Toes Syndrome

• Published in: Tremor and other hyperkinetic movements (New York, N.Y.) Vol. 6; p. 352
• Main Authors: Vanegas-Arroyave, Nora, Panyakaew, Pattamon, Lamichhane, Dronacharya, Shulman, Lisa, Hallett, Mark
• Format: Journal Article
• Language: English
• Published: Columbia University Libraries/Information Services 01-01-2016; Ubiquity Press
• Subjects: Case Reports
• ISSN: 2160-8288; 2160-8288
• DOI: 10.7916/D8CZ36XT

BACKGROUNDMoving 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 REPORTWe describe two cases of moving toes syndrome with clinical features typically suggestive of a functional movement disorder. DISCUSSIONThe 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.