
Summary
A case report of a 54-year-old female patient, who had experienced severe pain and tingling in her legs for over 20 years, is presented.
The symptoms had worsened following a febrile illness. There was a positive familial history.
Polysomnographic examination revealed severe periodic limb movement syndrome, with more than 500 PLMS during the night, which was associated with frequent awakenings.
A diagnosis of RLS was made and the patient responded to treatment with dopamine agonists.
The patient became almost symptom free, and the duration of sleep improved markedly.
After 1 year, the dosage of dopamine agonist was adjusted to maintain control of early morning symptoms.
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Af prof. dr. med. Claudia Trenkwalder, Universität Göttingen, Paracelsus-Elena-Klinik, Klinikstrasse 16, 34128 Kassel, Deutschland
Tel: +49-561-6009-200 Fax: +49-561-6009-126 E-mail: ctrenkw@gwdg.de |

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