title: Low dose of clonazepam is effective in the treatment of painless legs and moving toes syndrome: a case report.
abstract: BACKGROUND
  Painless legs and moving toes syndrome (PoLMT) is a rare movement disorder characterized by flexion, extension, abduction, adduction, and torsion of toes in the absence of pain. It is considered a variant of painful legs and moving toes syndrome, which is characterized by similar movements but is accompanied by pain. Although neuropathy, spinal cord compression, brain tumor, cerebral infarction, and Wilson's disease have been reported to be associated with PoLMT, the actual cause, trigger, and mechanism remain unclear. Therefore, a standardized treatment for PoLMT is not established yet.
  
  
  METHODS
  We describe a 64-year-old Japanese woman with no past medical history who presented with nonrhythmic repetitive involuntary toe movement of the left foot in the absence of pain. She was diagnosed with idiopathic PoLMT and treated with a low dose of clonazepam (0.5 mg/day). The involuntary movement disappeared completely several days after treatment.
  
  
  CONCLUSIONS
  A low dose of clonazepam is effective in the treatment of PoLMT.
authors: Department of Neurology Juntendo Shizuoka Hospital, Izunokuni, Tokyo, Japan.
authors: Sumihiro
authors: S
authors: Kawajiri
authors: Department of Neurology Juntendo Shizuoka Hospital, Izunokuni, Tokyo, Japan.
authors: Kazuyuki
authors: K
authors: Noda
authors: Department of Neurology Juntendo University School of Medicine, Tokyo, Japan.
authors: Aya
authors: A
authors: Ikeda
authors: Department of Neurology Juntendo Shizuoka Hospital, Izunokuni, Tokyo, Japan.
authors: Takahiro
authors: T
authors: Koinuma
authors: Department of Neurology Juntendo Shizuoka Hospital, Izunokuni, Tokyo, Japan.
authors: Yuji
authors: Y
authors: Tomizawa
authors: Department of Neurology Juntendo University School of Medicine, Tokyo, Japan.
authors: Nobutaka
authors: N
authors: Hattori
authors: Department of Neurology Juntendo University School of Medicine, Tokyo, Japan.
authors: Yasuyuki
authors: Y
authors: Okuma
keywords: Clonazepam; Moving toes; Painful legs; Painless legs