Département de Neurophysiologie Clinique, Pôle Neurosciences Cliniques, CHU de Bordeaux, F-33076, Bordeaux, France.
Université de Bordeaux, Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, UMR 5287, F-33076, Bordeaux, France.
Sleep Breath. 2020 Mar;24(1):277-279. doi: 10.1007/s11325-019-01978-1. Epub 2019 Dec 9.
Restless legs syndrome (RLS) is one of the most disabling and sometimes painful sensorimotor ailment of the nervous system that has only in recent years become more widely accepted as a clinical disorder with its own distinct features. Usually, symptoms respond well to dopamine agonists, anticonvulsants, or opiates, but still a subset of patients remains refractory to medical therapy and/or reports serious side effects. Recently, patients' statement of a remarkable and total remission of RLS symptoms following cannabis use has been reported. Here, we confirm and extend these findings to more patients with RLS. The antinociceptive effect of marijuana has been documented in many painful neurological conditions, and the potential benefit of cannabis use in patients with refractory RLS should therefore be questioned by robust clinical trials.
不宁腿综合征(RLS)是神经系统最具致残性和有时甚至导致疼痛的感觉运动疾病之一,近年来才被更为广泛地接受为一种具有独特特征的临床疾病。通常,多巴胺激动剂、抗惊厥药或阿片类药物可有效缓解症状,但仍有一部分患者对药物治疗有反应/或报告严重的副作用。最近,有报道称患者在使用大麻后 RLS 症状显著且完全缓解。在此,我们对更多的 RLS 患者进行了确认和扩展研究。大麻具有镇痛作用,已在许多神经病理性疼痛疾病中得到证实,因此,对于难治性 RLS 患者,应通过严格的临床试验来质疑大麻使用的潜在益处。