Abstract
Painful legs and moving toes is an uncommon movement disorder. A painless variant has been reported in few case reports. Painless legs and moving toes is mainly related to the spinal cord pathologies, or reported as secondary to the neurodegenerative diseases or as a tardive phenomenon. Here we report a 27-year-old female patient complaining of involuntary semi-continuous writhing movements in her toes for 9 years. She had no family history for any movement disorder. As a result of detailed clinical and laboratory investigations including cranial and spinal neuroimaging, biochemical tests, viral serology, autoimmune and paraneoplastic biomarkers, she was diagnosed as having idiopathic painless legs and moving toes.
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