The psychogenic toe signs

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The psychogenic toe signs.

A 13-year-old boy presented with sudden-onset give-away weakness, nonanatomic sensory loss, and posturing of the right foot followed by episodic left leg tremor, relatively unchanged for 14 months prior to this evaluation. The right first toe was fixed in extension; the others in flexion. Although there was resistance to passive plantar flexion, such movement occurred spontaneously upon forced ...

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Clinical signs are critical in ascertaining the functional nature of a gait disorder. Four signs of gait impairment have been documented in the course of examining patients with clinically definite functional (psychogenic) movement disorders: "huffing and puffing" during standing and walking, manipulation-resistance dorsiflexion of the first toe, fixed plantar flexion and inversion, and marked ...

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ژورنال

عنوان ژورنال: Neurology

سال: 2011

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e318227e4c0