Author Affiliations: Institute of Neurology, Catholic University of the Sacred Heart (Drs Luigetti, Capone, and Ranieri) and Department of Neuroscience, Campus Biomedico, University of Rome (Dr Di Lazzaro), Rome, and Department of Plastic, Hand Surgery, and Reconstructive Microsurgery, Ospedale San Gerardo, Monza (Dr Del Bene), Italy.
A 43-year-old woman was admitted to our department to investigate a 6-month history of nocturnal cramps and pain in her left leg. She denied significant prior illness or medication use. The pain was intermittent, was exacerbated by a lying position, and radiated from the proximal posterior part of the left lower limb to the medial malleolus. Findings on neurological examination, including deep palpation of the posterior part of the left thigh, were unremarkable. Tinel sign was absent.
Luigetti M, Capone F, Del Bene M, Ranieri F, Di Lazzaro V. Nocturnal CrampsA Nerve Problem. JAMA Neurol. 2013;70(6):792. doi:10.1001/jamaneurol.2013.1943