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