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不宁腿综合征(威利-埃克博姆病)的诊断

Diagnosis of Restless Leg Syndrome (Willis-Ekbom Disease).

作者信息

Becker Philip M

机构信息

Sleep Medicine Associates of Texas, 5477 Glen Lakes Drive, Suite 100, Dallas, TX 75231, USA; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

Sleep Med Clin. 2015 Sep;10(3):235-40, xii. doi: 10.1016/j.jsmc.2015.05.001. Epub 2015 Jun 9.

Abstract

Restless leg syndrome, or Willis-Ekbom disease, is a neurosensorimotor disorder with significant impact that is diagnosed through 5 clinical criteria. Adherence to 5 criteria and a thorough physical examination are often sufficient for diagnosis. Associated features prove helpful in young children or the cognitively impaired. Polysomnography is not routinely required unless the patient has other sleep-related symptoms. The finding of periodic leg movements in sleep only suggests, instead of confirms, the diagnosis. It is important to arrive at appropriate diagnosis because the prevalence is in the millions and treatment significantly improves sleep quality and daytime function.

摘要

不宁腿综合征,即韦利斯-埃克博姆病,是一种具有重大影响的神经感觉运动障碍,通过5项临床标准进行诊断。符合这5项标准并进行全面的体格检查通常足以确诊。相关特征对幼儿或认知障碍者的诊断有帮助。除非患者有其他与睡眠相关的症状,否则通常不需要进行多导睡眠监测。睡眠中周期性腿部运动的发现仅为疑似而非确诊该疾病。做出正确诊断很重要,因为该病的患病率达数百万,而治疗能显著改善睡眠质量和日间功能。

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