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脊髓损伤相关性不宁腿综合征:病例报告。

Restless leg syndrome in spinal cord injury: case report.

机构信息

Rutgers New Jersey Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA.

Spinal Cord Injury & Disorders Department, Veteran Administration New Jersey Healthcare System, East Orange, NJ, USA.

出版信息

Spinal Cord Ser Cases. 2023 May 4;9(1):19. doi: 10.1038/s41394-023-00576-4.

Abstract

CASE DESCRIPTION

Restless leg syndrome (RLS) is a condition infrequently reported in spinal cord injury that causes an uncomfortable sensation in the legs and an urge to move them. We report a case involving a 63-year-old man with incomplete paraplegia with an onset of RLS four years post injury.

FINDINGS

Based upon history, pramipexole was prescribed for the presumptive diagnosis of RLS, with good effect. Initial workup revealed an anemia (hemoglobin of 9.3 gram/deciliter (g/dl)) and iron deficiency (ferritin of 10 microgram/liter (μg/L)), necessitating further evaluation.

CONCLUSION

Due to the complexities in diagnosing RLS in patients with SCI, it is important to be cognizant of symptoms and to consider this diagnosis to initiate the appropriate work-up for an etiology, of which iron deficiency anemia is common.

摘要

病例描述

不宁腿综合征(RLS)是一种在脊髓损伤中少见的疾病,会导致腿部不适和移动腿部的冲动。我们报告了一例 63 岁不完全性截瘫患者,在损伤后四年出现 RLS。

发现

根据病史,普拉克索被开给该患者以初步诊断为 RLS,效果良好。初步检查显示贫血(血红蛋白 9.3 克/分升(g/dl))和缺铁(铁蛋白 10 微克/升(μg/L)),需要进一步评估。

结论

由于脊髓损伤患者 RLS 的诊断较为复杂,因此了解症状并考虑这一诊断以启动病因的适当检查非常重要,其中缺铁性贫血很常见。

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本文引用的文献

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Restless Legs Syndrome: Known Knowns and Known Unknowns.不宁腿综合征:已知与未知
Brain Sci. 2022 Jan 16;12(1):118. doi: 10.3390/brainsci12010118.
2
Restless legs syndrome induced by fexofenadine/pseudoephedrine.非索非那定/伪麻黄碱诱发的不宁腿综合征。
J Gen Fam Med. 2020 Jun 15;21(6):256-257. doi: 10.1002/jgf2.338. eCollection 2020 Nov.
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Neurochemical features of idiopathic restless legs syndrome.特发性不宁腿综合征的神经化学特征。
Sleep Med Rev. 2019 Jun;45:70-87. doi: 10.1016/j.smrv.2019.03.006. Epub 2019 Mar 21.
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Drug-Induced Restless Legs Syndrome.药物诱导的不宁腿综合征。
Ann Pharmacother. 2018 Jul;52(7):662-672. doi: 10.1177/1060028018760296. Epub 2018 Feb 26.

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