Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- desejo de movimentar as pernas
- disestesias
- sintomas no final do dia ou noturnos
- fatores de alívio (movimento, alongamento, massagem)
- localização nos membros inferiores, menos comumente nos membros superiores e tronco
Fatores de risco
- afecções associadas à deficiência de ferro
- gestação
- história familiar de SPI
- uso de antidepressivos, anti-histamínicos e metoclopramida
- sexo feminino
- envelhecimento
- obesidade
- diabetes mellitus
- Doença de Parkinson
- esclerose múltipla
- neuropatia periférica
Investigações diagnósticas
Algoritmo de tratamento
Colaboradores
Autores
Nitun Verma, MD, MBA
Sleep Physician
AC Wellness
Cupertino
CA
Declarações
NV declares that he has no competing interests.
Clete A. Kushida, MD, PhD, RPSGT
Acting Medical Director
Stanford Sleep Medicine Center
Director
Stanford Center for Human Sleep Research
Associate Professor
Stanford University Medical Center
Stanford Sleep Medicine Center
Redwood City
CA
Declarações
CAK has received research grant support from XenoPort, the manufacturer of gabapentin enacarbil, and is an author of a number of references cited in this topic.
Revisores
Magdolna Hornyak, MD
Associate Professor
Interdisciplinary Pain Center and Department for Psychiatry and Psychotherapy
University Medical Center Freiburg
Freiburg
Germany
Declarações
MH declares that she has no competing interests.
K Ray Chaudhuri, MD, FRCP, DSc, FEAN
Professor of Movement Disorders and Neuroscience and Clinical Director
Parkinson Foundation International Centre of Excellence
King's College Hospital and King's College
Campus Research Director and Assistant Medical Director
King's College Hospital NHS Foundation Trust
London
UK
Declarações
KRC declares that he has no competing interests.
Brian Koo, MD
Associate Professor of Neurology
Yale University
New Haven
CT
Declarações
BK declares that he has no competing interests.
Referências
Principais artigos
Winkelman JW, Armstrong MJ, Allen RP, et al. Practice guideline summary: treatment of restless legs syndrome in adults - report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology. 2016 Dec 13;87(24):2585-93.Texto completo Resumo
Silber MH, Buchfuhrer MJ, Earley CJ, et al. The management of restless legs syndrome: an updated algorithm. Mayo Clin Proc. 2021 Jul;96(7):1921-37.Texto completo Resumo
Allen RP, Picchietti DL, Auerbach M, et al. Evidence-based and consensus clinical practice guidelines for the iron treatment of restless legs syndrome/Willis-Ekbom disease in adults and children: an IRLSSG task force report. Sleep Med. 2018 Jan;41:27-44.Texto completo Resumo
Aurora RN, Kristo DA, Bista SR, et al. The treatment of restless legs syndrome and periodic limb movement disorder in adults - an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses: an American Academy of Sleep Medicine Clinical Practice Guideline. Sleep. 2012 Aug 1;35(8):1039-62.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível aqui.
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