Lumbar Sympathetic Ganglion Block in a Patient with Painful Legs and Moving Toes Syndrome

Shime, Nobuaki; Sugimoto, Eizo

doi:10.1213/00000539-199805000-00029

Cited by 9 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The implication of the sympathetic nervous system in generating PLME has been also previously suggested (27). Symptoms of PLMT may worsen during periods of psychologic stress (29), hence, the activation of sympathetic nervous system through the Valsava or cold pressor tests may have a diagnostic role.…”

Section: Diagnostic Testsmentioning

confidence: 63%

“…In neuroimaging studies, there are data linking the PLME syndrome to common vertebral abnormalities, such as stenosis and disc degeneration, revealed by spine magnetic resonance imaging (MRI) or computed tomography (CT) (1, 5, 15, 27). In fact, neuroimaging reveals only mild findings in these cases (24).…”

Section: Diagnostic Testsmentioning

confidence: 99%

“…Lumbar epidural block may be considered the treatment of choice if pain is due to the involvement of posterior nerve roots and peripheral nerves (1, 4, 6, 26). Shime and Sugimoto (27) performed lumbar sympathetic ganglion block with 99.9% ethanol, which resulted in a complete pain relief and alleviation of the leg movement. Although the less intense pain recurred 24 h later, the authors considered that the treatment was effective and long‐lasting.…”

Section: Treatment Options In Plmementioning

confidence: 99%

See 2 more Smart Citations

Painful limbs/moving extremities

Papapetropoulos¹

2008

Acta Neurol Scand

View full text Add to dashboard Cite

Painful limbs/moving extremities (PLME) is a disorder characterized by spontaneous, complex, slow (1-2 Hz) involuntary toe or finger movements. The movements that can be bilateral or unilateral are usually accompanied by pain in the affected limbs. Painless variants are less common. PLME has been associated with peripheral and central nervous system disease although idiopathic cases have been reported. Its etiopathogenesis is unknown and treatment approaches remain largely empirical. Nerve blocks and botulinum toxin type A injections as well as oral medication have had some measure of success. Current theories suggest that central oscillator(s) at the spinal or supraspinal levels may be involved. Future research in PLME should include prospective electrophysiological and functional imaging studies as well as clinical trials with botulinum toxin injections and oral pharmacological agents.

show abstract

Section: Diagnostic Testsmentioning

confidence: 63%

Section: Diagnostic Testsmentioning

confidence: 99%

Section: Treatment Options In Plmementioning

confidence: 99%

See 1 more Smart Citation

Painful limbs/moving extremities

Papapetropoulos¹

2008

Acta Neurol Scand

View full text Add to dashboard Cite

show abstract

“…A large number of drugs as well as lumbar sympathetic block [10] , sympathectomy, transcutaneous electrical stimulation -with limited pain relief or a short duration of the therapeutic benefit -have been used to treat this condition [2-4, 7-9, 11] .…”

mentioning

confidence: 99%

Posterior Spinal Cord Stimulation in a Case of Painful Legs and Moving Toes

Raina¹,

Piedimonte²,

Micheli³

2007

Stereotact Funct Neurosurg

View full text Add to dashboard Cite

A 59-year-old woman with a 5-year history of right lower limb pain is reported. Symptoms developed initially when walking and progressively became bilateral, appeared at rest and involuntary movements of the toes became evident. A diagnosis of painful legs and moving toes was made. As several drug therapies proved unsuccessful, a therapeutic test with a tetrapolar epidural lead to stimulate the spinal cord dorsal tracts was performed. Due to the marked improvement the device and generator were implanted and she has responded satisfactorily to this therapy for the past 13 months.

show abstract

Painful legs and moving toes

Reich

2011

Handbook of Clinical Neurology

View full text Add to dashboard Cite

Lumbar Sympathetic Ganglion Block in a Patient with Painful Legs and Moving Toes Syndrome

Cited by 9 publications

References 6 publications

Painful limbs/moving extremities

Painful limbs/moving extremities

Posterior Spinal Cord Stimulation in a Case of Painful Legs and Moving Toes

Painful legs and moving toes

Contact Info

Product

Resources

About