Hypertrophic mononeuritis clinically presenting with painful legs and moving toes.

@article{Mitsumoto1990HypertrophicMC,
  title={Hypertrophic mononeuritis clinically presenting with painful legs and moving toes.},
  author={Hiroshi Mitsumoto and Kerry H Levin and Asa J. Wilbourn and S. M. Chou},
  journal={Muscle & nerve},
  year={1990},
  volume={13 3},
  pages={215-21}
}
A 40-year-old woman presented with progressive lower leg pain and spontaneous toe movement. The EMG showed a posterior tibial nerve mononeuropathy and continuous myokymic discharges in posterior tibial-innervated muscles. The MRI revealed a markedly enlarged posterior tibial nerve. Toe movements and myokymia were unaffected by the proximal transection of the lesion but ceased abruptly when the distal end of the fusiform "tumor" was resected, suggesting that spontaneous electrical foci may have… CONTINUE READING