Moving Toes Syndrome in Children and Youth: Case Series of a Rare Disorder

"Moving toes syndrome" is a rare movement disorder with painful and painless forms. There is a paucity of literature on patients presenting with moving toes syndrome in the first 2 decades. We present 3 cases of moving toes syndrome, with symptom onset between 9 and 19 years. Pain was variable in these patients. Etiologies included minor trauma in 2 patients and a central thalamic-hypothalamic lesion in another. Two of 3 patients required no treatment, and symptoms gradually improved. Similar to adults, children and youth with moving toes syndrome can demonstrate features that overlap with functional movement disorders. Moving toes syndrome presenting in childhood and adolescence appears to be more benign than in adults, with many patients improving over time.