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Restless Limbs and Bladder: An Atypical Variant of Restless Legs Syndrome Case Report

Yıl 2024, , 319 - 321, 10.06.2024
https://doi.org/10.19161/etd.1382369

Öz

Restless Legs Syndrome (RLS) primarily affects the legs, but atypical variants involving other body parts have been described. We present a 42-year-old patient presented with 10-year history of urinary urgency along with pain, numbness, and itchiness in the right hand and foot, which worsened and started affecting the left side over the past six months. The symptoms occurred predominantly at night, improved with urination and movement, and affected daily activities. Symptoms completely resolved with pramipexole treatment. The diagnostic criteria for RLS acknowledge atypical variants involving various body parts. Reported cases include genital, bladder, abdominal, bowel, head, oral, and phantom limb variants. Clinicians should consider therapeutic testing, such as with low-dose dopamine agonists, when there is a high clinical suspicion.

Kaynakça

  • Allen RP, Picchietti DL, Garcia-Borreguero D, et al. Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria – history, rationale, description, and significance. Sleep Med. 2014;15(8):860-873. doi:10.1016/j.sleep.2014.03.025
  • Turrini A, Raggi A, Calandra-Buonaura G, Martinelli P, Ferri R, Provini F. Not only limbs in atypical restless legs syndrome. Sleep Med Rev. 2018;38:50-55. doi:10.1016/j.smrv.2017.03.007
  • Prakash S, Prakash A. Dopa responsive headache: Restless head syndrome or a cephalic variant of restless legs syndrome? J Fam Med Prim Care. 2020;9(8):4431. doi:10.4103/jfmpc.jfmpc_640_20
  • Prakash S, Ahuja S, Rathod C. Dopa responsive burning mouth syndrome: Restless mouth syndrome or oral variant of restless legs syndrome? J Neurol Sci. 2012;320(1-2):156-160. doi:10.1016/j.jns.2012.07.007
  • Perez-Diaz H, Iranzo A, Rye DB, Santamaria J. Restless abdomen: A phenotypic variant of restless legs syndrome. Neurology. 2011;77(13):1283-1286. doi:10.1212/WNL.0b013e318230207a
  • Suzuki K, Miyamoto M, Uchiyama T, Miyamoto T, Matsubara T, Hirata K. Restless Bladder in an Elderly Woman: An Unusual Feature or a Variant of Restless Legs Syndrome? Intern Med Tokyo Jpn. 2016;55(18):2713-2716. doi:10.2169/internalmedicine.55.6815
  • Sforza E, Hupin D, Roche F. Restless Genital Syndrome: Differential Diagnosis and Treatment With Pramipexole. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med. 2017;13(9):1109-1110. doi:10.5664/jcsm.6736
  • Nishida S, Hitsumoto A, Namba K, Usui A, Inoue Y. Persistence of secondary restless legs syndrome in a phantom limb caused by end-stage renal disease. Intern Med Tokyo Jpn. 2013;52(7):815-818. doi:10.2169/internalmedicine.52.9013
  • Prakash S, Prakash A. Dopa responsive irritable bowel syndrome: restless bowel syndrome or a gastrointestinal variant of restless legs syndrome? BMJ Case Rep. 2021;14(3):e240686. doi:10.1136/bcr 2020-240686
  • Jiménez-Jiménez FJ, Alonso-Navarro H, García-Martín E, Agúndez JAG. Genetics of restless legs syndrome: An update. Sleep Medicine Reviews. 2018;39:108-121. doi:10.1016/j.smrv.2017.08.002

Huzursuz Uzuvlar ve Mesane: Atipik Huzursuz Bacak Sendromu Varyantı Vaka Sunumu

Yıl 2024, , 319 - 321, 10.06.2024
https://doi.org/10.19161/etd.1382369

Öz

Huzursuz Bacaklar Sendromu (HBS) öncelikle bacakları etkiler, ancak diğer vücut bölgelerini içeren atipik varyantlar da tanımlanmıştır. Bu yazıda 10 yıldır olan, son altı aydır sol tarafını da etkilemeye başlayan, idrar hissi ile birlikte sağ el ve ayaklarda ağrı, uyuşma ve kaşıntı şikayeti olan 42 yaşında bir hasta sunulmuştur. Semptomlar ağırlıklı olarak geceleri ortaya çıkmakta, idrar yapma ve hareketle düzelmekte ve günlük aktiviteleri etkilemekteydi, pramipeksol tedavisi ile tamamen düzeldi. HBS için mevcut tanı kriterleri, çeşitli vücut bölgelerini içeren atipik varyantları kabul etmektedir. Bildirilen vakalar arasında genital, mesane, abdominal, bağırsak, baş, oral ve fantom uzuv varyantları bulunmaktadır. Klinisyenler, yüksek klinik şüphe halinde düşük doz dopamin agonistleri gibi terapötik testleri düşünmelidir.

Kaynakça

  • Allen RP, Picchietti DL, Garcia-Borreguero D, et al. Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria – history, rationale, description, and significance. Sleep Med. 2014;15(8):860-873. doi:10.1016/j.sleep.2014.03.025
  • Turrini A, Raggi A, Calandra-Buonaura G, Martinelli P, Ferri R, Provini F. Not only limbs in atypical restless legs syndrome. Sleep Med Rev. 2018;38:50-55. doi:10.1016/j.smrv.2017.03.007
  • Prakash S, Prakash A. Dopa responsive headache: Restless head syndrome or a cephalic variant of restless legs syndrome? J Fam Med Prim Care. 2020;9(8):4431. doi:10.4103/jfmpc.jfmpc_640_20
  • Prakash S, Ahuja S, Rathod C. Dopa responsive burning mouth syndrome: Restless mouth syndrome or oral variant of restless legs syndrome? J Neurol Sci. 2012;320(1-2):156-160. doi:10.1016/j.jns.2012.07.007
  • Perez-Diaz H, Iranzo A, Rye DB, Santamaria J. Restless abdomen: A phenotypic variant of restless legs syndrome. Neurology. 2011;77(13):1283-1286. doi:10.1212/WNL.0b013e318230207a
  • Suzuki K, Miyamoto M, Uchiyama T, Miyamoto T, Matsubara T, Hirata K. Restless Bladder in an Elderly Woman: An Unusual Feature or a Variant of Restless Legs Syndrome? Intern Med Tokyo Jpn. 2016;55(18):2713-2716. doi:10.2169/internalmedicine.55.6815
  • Sforza E, Hupin D, Roche F. Restless Genital Syndrome: Differential Diagnosis and Treatment With Pramipexole. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med. 2017;13(9):1109-1110. doi:10.5664/jcsm.6736
  • Nishida S, Hitsumoto A, Namba K, Usui A, Inoue Y. Persistence of secondary restless legs syndrome in a phantom limb caused by end-stage renal disease. Intern Med Tokyo Jpn. 2013;52(7):815-818. doi:10.2169/internalmedicine.52.9013
  • Prakash S, Prakash A. Dopa responsive irritable bowel syndrome: restless bowel syndrome or a gastrointestinal variant of restless legs syndrome? BMJ Case Rep. 2021;14(3):e240686. doi:10.1136/bcr 2020-240686
  • Jiménez-Jiménez FJ, Alonso-Navarro H, García-Martín E, Agúndez JAG. Genetics of restless legs syndrome: An update. Sleep Medicine Reviews. 2018;39:108-121. doi:10.1016/j.smrv.2017.08.002
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Nöroloji ve Nöromüsküler Hastalıklar
Bölüm Olgu Sunumu
Yazarlar

Bekir Burak Kılboz 0000-0002-4014-0425

Raziye Tıraş 0000-0002-9643-1483

Yayımlanma Tarihi 10 Haziran 2024
Gönderilme Tarihi 31 Ekim 2023
Kabul Tarihi 19 Aralık 2023
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

Vancouver Kılboz BB, Tıraş R. Restless Limbs and Bladder: An Atypical Variant of Restless Legs Syndrome Case Report. ETD. 2024;63(2):319-21.

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