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Moving toes and myoclonus associated with hereditary neuropathy with liability to pressure palsy (HNPP)
Author(s) -
Shaibani Aziz,
Gooch Clifton,
Harati Yadollah
Publication year - 1997
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/(sici)1097-4598(199707)20:7<881::aid-mus13>3.0.co;2-v
Subject(s) - medicine , myoclonus , physical medicine and rehabilitation , peripheral neuropathy , foot drop , palsy , foot (prosody) , anatomy , anesthesia , pathology , linguistics , philosophy , alternative medicine , diabetes mellitus , endocrinology
Abstract A 22‐year‐old male awoke with right foot drop and numbness. Nerve conduction studies, sural nerve biopsy, and molecular genetic analysis were consistent with hereditary neuropathy with liability to pressure palsy (HNPP). Two months later he developed involuntary flexion/extension movements of the right toes with associated intermittent dystonic flexion of the right foot. Over the next 2 months these movements spread to the left foot and hand and myoclonus of the left trapezius and rhomboid appeared. This is the first case report of moving toes syndrome and segmental myoclonus in association with HNPP. The temporal and topographic patterns of spread of the abnormal movements suggest a central mechanism probably induced by peripheral pathology. © 1997 John Wiley & Sons, Inc. Muscle Nerve 20: 881–883, 1997