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Restless Leg Syndrome

Overview

Restless legs syndrome is a condition where there will be an urge to keep moving legs uncontrollably, usually due to some sort of discomfort or unpleasant sensations. It commonly happens at night. The abnormal movement helps to alleviate or eliminate problem.

Signs and Symptoms

Nighttime leg twitching, Strange tingling, crawling, pricking sensations in the leg, Urge to move the limbs to relieve these sensations, Sleep disturbances, Daytime fatigue

Common Causes

Folate or magnesium deficiency, Amyloidosis, Diabetes mellitus, Lumbosacral radiculopathy, Lyme disease, Rheumatoid arthritis, Sjögren syndrome, Uremia, Vitamin B-12 deficiency, Frequent blood donation, Drugs (Diphenhydramine, Tricyclic antidepressants (TCAs), Selective serotonin reuptake inhibitors (SSRIs)

Risk Factors

Hereditary

Investigation Techniques

Full blood count, Ferritin levels, Iron levels, Transferrin saturation, Total Iron Binding Capacity, Neurologic examination, BUN, Creatinine, Fasting blood glucose, Magnesium, Thyroid-stimulating hormone (TSH), Vitamin B-12, Folate, Needle electromyography, Nerve conduction studies, Polysomnography

Treatment and Prevention

Dopaminergic agents (bromocriptine), Benzodiazepines (Clonazepam), Opiates (Codeine), Anticonvulsants (Gabapentin), Alpha2 agonists (Clonidine, Iron salt, Sleep hygiene measures, Exercise, Eliminate stimulating activity can coffee before bedtime

Psychological Issues

Anxiety, stress, fatigue
Authorship
Information Updated on : Wed Feb 12 2020 16:04:06 GMT+0800 (Malaysia Time)
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