No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report

Introduction: Painful legs and moving toes (PLMT) is a rare neurological disorder characterized by neuropathic pain and involuntary movements in the lower limbs. The pathophysiological mechanisms are unclear, but central mechanisms might be involved, suggesting that noninvasive brain stimulation mig...

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Main Authors: Anna Brück, Jaakko Pullinen, Janne Nummelin, Saara Lehto, Juho Joutsa
Format: Article
Language:English
Published: Karger Publishers 2024-02-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/536467
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author Anna Brück
Jaakko Pullinen
Janne Nummelin
Saara Lehto
Juho Joutsa
author_facet Anna Brück
Jaakko Pullinen
Janne Nummelin
Saara Lehto
Juho Joutsa
author_sort Anna Brück
collection DOAJ
description Introduction: Painful legs and moving toes (PLMT) is a rare neurological disorder characterized by neuropathic pain and involuntary movements in the lower limbs. The pathophysiological mechanisms are unclear, but central mechanisms might be involved, suggesting that noninvasive brain stimulation might be helpful. Thus far, no reports have been published on noninvasive brain stimulation to treat PLMT. Case Presentation: A 70-year-old female had a 1-year history of PLMT. After several unsuccessful medical attempts, the patient received repetitive transcranial magnetic stimulation and transcranial direct current stimulation to alleviate the pain and involuntary movements with no benefit. Conclusion: This is the first report on noninvasive brain stimulation in a PLMT patient. Although ineffective in our patient, noninvasive brain stimulation should be further studied in this often difficult to treat and debilitating syndrome.
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spelling doaj.art-7ace59575710435c9d27efbf7c16f3282024-03-28T07:54:16ZengKarger PublishersCase Reports in Neurology1662-680X2024-02-01161858810.1159/000536467536467No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case ReportAnna Brück0Jaakko Pullinen1Janne Nummelin2Saara Lehto3Juho Joutsa4Neurocenter, Turku University Hospital, Turku, FinlandNeurocenter, Turku University Hospital, Turku, FinlandNeurocenter, Turku University Hospital, Turku, FinlandClinical Neurophysiology, Turku University Hospital, Turku, FinlandNeurocenter, Turku University Hospital, Turku, FinlandIntroduction: Painful legs and moving toes (PLMT) is a rare neurological disorder characterized by neuropathic pain and involuntary movements in the lower limbs. The pathophysiological mechanisms are unclear, but central mechanisms might be involved, suggesting that noninvasive brain stimulation might be helpful. Thus far, no reports have been published on noninvasive brain stimulation to treat PLMT. Case Presentation: A 70-year-old female had a 1-year history of PLMT. After several unsuccessful medical attempts, the patient received repetitive transcranial magnetic stimulation and transcranial direct current stimulation to alleviate the pain and involuntary movements with no benefit. Conclusion: This is the first report on noninvasive brain stimulation in a PLMT patient. Although ineffective in our patient, noninvasive brain stimulation should be further studied in this often difficult to treat and debilitating syndrome.https://beta.karger.com/Article/FullText/536467painful legs and moving toesbrain stimulationrepetitive transcranial magnetic stimulation
spellingShingle Anna Brück
Jaakko Pullinen
Janne Nummelin
Saara Lehto
Juho Joutsa
No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
Case Reports in Neurology
painful legs and moving toes
brain stimulation
repetitive transcranial magnetic stimulation
title No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
title_full No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
title_fullStr No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
title_full_unstemmed No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
title_short No Efficacy with Noninvasive Brain Stimulation for Painful Legs and Moving Toes: A Case Report
title_sort no efficacy with noninvasive brain stimulation for painful legs and moving toes a case report
topic painful legs and moving toes
brain stimulation
repetitive transcranial magnetic stimulation
url https://beta.karger.com/Article/FullText/536467
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