Restless Legs Syndrome
- PMID: 28613628
- Bookshelf ID: NBK430878
Restless Legs Syndrome
Excerpt
Restless legs syndrome (RLS), or Willis-Ekbom disease, is a common, chronic, multifactorial movement disorder of the limbs in which patients have an irresistible urge to move their legs. This is often associated with abnormal, non-painful sensations that start at rest and are improved by activity. There is a diurnal pattern of worsened symptoms at night. Sleep disturbance is associated with involuntary jerking movements of the legs during sleep, known as periodic leg movements of sleep. There are more than 3 million cases in the United States annually. RLS is underdiagnosed, and there is a significant delay in diagnosis. The disorder may start in childhood, but the diagnosis is often not made until the third decade of life. Symptoms are worse at rest and sleep. Today, the condition can be treated with medications.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Pratt DP. Restless Legs Syndrome/Willis-Ekbom Disease and Periodic Limb Movements: A Comprehensive Review of Epidemiology, Pathophysiology, Diagnosis and Treatment Considerations. Curr Rheumatol Rev. 2016;12(2):91-112. - PubMed
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- Evidente VG, Adler CH. How to help patients with restless legs syndrome. Discerning the indescribable and relaxing the restless. Postgrad Med. 1999 Mar;105(3):59-61, 65-6, 73-4. - PubMed
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- Cesnik E, Casetta I, Turri M, Govoni V, Granieri E, Strambi LF, Manconi M. Transient RLS during pregnancy is a risk factor for the chronic idiopathic form. Neurology. 2010 Dec 07;75(23):2117-20. - PubMed
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- Takaki J, Nishi T, Nangaku M, Shimoyama H, Inada T, Matsuyama N, Kumano H, Kuboki T. Clinical and psychological aspects of restless legs syndrome in uremic patients on hemodialysis. Am J Kidney Dis. 2003 Apr;41(4):833-9. - PubMed
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