Estivill E, de la Fuente-Pañell V, Segarra-Isern F, Albares-Tendero J
Clínica del Son Estivill, USP Institut Universitari Dexeus, Barcelona, Spain.
Rev Neurol. 2004;39(6):536-8.
We present the case of a patient who, after amputation of both legs, suffered restless legs syndrome (RLS). This syndrome is characterised by a feeling of agitation in the legs and an overwhelming need to move them.
A 62-year-old male patient who visited because of sleep onset and maintenance insomnia. The aetiology of the insomnia was interpreted as being an anxiety-dysthymic syndrome, which improved with suitable medication. Five months later, the patient returned with the same symptoms (onset insomnia). On questioning the patient again, we noticed that he displayed clear symptoms of RLS, despite the absence of both lower limbs. The clinical features were resolved with the administration of ropinirole.
We do not know of any similar cases, but the scarce amount of knowledge available about RLS makes it likely that many patients with amputations present this problem without any proper diagnosis.
我们报告一例双腿截肢后患上不宁腿综合征(RLS)的患者。该综合征的特征是腿部有激动不安的感觉以及强烈的活动双腿的需求。
一名62岁男性患者因入睡和维持睡眠失眠前来就诊。失眠的病因被解释为焦虑性心境恶劣综合征,经适当药物治疗后有所改善。五个月后,患者因相同症状(入睡失眠)再次前来。再次询问患者时,我们注意到尽管他双下肢缺失,但仍表现出明显的不宁腿综合征症状。给予罗匹尼罗后临床症状得到缓解。
我们不知道有任何类似病例,但关于不宁腿综合征的现有知识匮乏,这使得许多截肢患者可能存在这个问题却未得到正确诊断。