Munhoz Renato Puppi, Constantino Maria C L, Silveira-Moriyama Laura
University of Toronto, Toronto Western Hospital, Movement Disorders Centre, Toronto ON, Canada.
Krembil Research Institute, Toronto, Ontario, Canada.
Arq Neuropsiquiatr. 2019 Jan;77(1):47-54. doi: 10.1590/0004-282X20180125.
Parkinson's disease (PD) and restless legs syndrome/Willis-Ekbom disorder (RLS/WED) are relatively common diseases in the realm of movement disorders. The fact that both may, as expected, co-occur and typically share a similar remarkable response to dopaminergic treatment raised the interest in exploration of additional shared features that throughout the years cruised fields as diverse as phenomenology, epidemiology, genetics, pathology, and clinical studies. In this review, we describe and critically examine the evidence and biases of a conceivable overlap of these two disorders, trying to shed light onto two main sources of confusion: (1) are PD and RLS/WED reciprocal risk factors? and (2) what are the main mimics of RLS/WED in PD?
帕金森病(PD)和不宁腿综合征/威利氏-埃克波姆病(RLS/WED)是运动障碍领域相对常见的疾病。正如预期的那样,两者可能同时出现,并且通常对多巴胺能治疗有相似的显著反应,这一事实引发了人们对探索其他共同特征的兴趣,多年来,这些共同特征涉及现象学、流行病学、遗传学、病理学和临床研究等多个领域。在本综述中,我们描述并批判性地审视了这两种疾病可能存在重叠的证据和偏差,试图阐明两个主要的混淆来源:(1)PD和RLS/WED是相互的风险因素吗?(2)PD中RLS/WED的主要模仿症状是什么?