Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Aug;16(4):379-82.
doi: 10.7861/clinmedicine.16-4-379.

Restless legs syndrome

Affiliations
Review

Restless legs syndrome

Lisa Klingelhoefer et al. Clin Med (Lond). 2016 Aug.

Abstract

Restless legs syndrome (RLS), also known as Willis-Ekbom disease (WED), is a common movement disorder characterised by an uncontrollable urge to move because of uncomfortable, sometimes painful sensations in the legs with a diurnal variation and a release with movement. The pathophysiology is only partially known and a genetic component together with dopaminergic and brain iron dysregulation plays an important role. Secondary causes for RLS need to be excluded. Treatment depends on the severity and frequency of RLS symptoms, comprises non-pharmacological (eg lifestyle changes) and pharmacological interventions (eg dopaminergic medication, alpha-2-delta calcium channel ligands, opioids) and relieves symptoms only. Augmentation is the main complication of long-term dopaminergic treatment of RLS. This article will provide a clinically useful overview of RLS with provision of diagnostic criteria, differential diagnoses, possible investigations and different treatment strategies with their associated complications.

Keywords: RLS; Restless legs syndrome; WED; Willis-Ekbom disease; side effects; treatment.

PubMed Disclaimer

References

    1. Allen RP. Picchietti D. Hening WA, et al. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med. 2003;4:101–19. - PubMed
    1. International Restless Leg Syndrome Study Group Revised IRLSSG diagnostic criteria for RLS. Rochester, USA:: IRLSSG; 2012. 2012. Available online at http://irlssg.org/diagnostic-criteria/ [Accessed 10 May 2016]
    1. Ferri R. Lanuzza B. Cosentino FI, et al. A single question for the rapid screening of restless legs syndrome in the neurological ­clinical practice. Eur J Neurol. 2007;14:1016–21. - PubMed
    1. Garcia-Borreguero D. Williams AM. An update on restless legs ­syndrome (Willis-Ekbom disease): clinical features, pathogenesis and treatment. Curr Opin Neurol. 2014;27:493–501. - PubMed
    1. Wijemanne S. Jankovic J. Restless legs syndrome: clinical presentation diagnosis and treatment. Sleep Med. 2015;16:678–90. - PubMed

MeSH terms

Substances