Restlessness in right upper limb as sole presentation of restless legs syndrome

Ravi Gupta; Vivekananda Lahan; Deepak Goel

doi:10.4103/0976-3147.105625

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Case Report

4 (

); 78-80

doi:

10.4103/0976-3147.105625

Restlessness in right upper limb as sole presentation of restless legs syndrome

Ravi Gupta^,,, Vivekananda Lahan^,, Deepak Goel^,

1 Departments of Psychiatry, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun, Uttarakhand, India

2 Departments of Sleep Clinic, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun, Uttarakhand, India

3 Departments of Neurology Himalayan Institute of Medical Sciences, Swami Ram Nagar, Doiwala, Dehradun, Uttarakhand, India

Dr. Ravi Gupta Department of Psychiatry and Sleep Clinic, Himalayan Institute of Medical Sciences Swami Ram Nagar, Doiwala, Dehradun, Uttarakhand India sleepdoc.ravi@gmail.com

Journal of Neurosciences in Rural Practice

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Abstract

ABSTRACT

Restless legs syndrome (RLS) rarely affects the upper limb during the initial course of disease. We present a patient who complained of symptoms suggesting RLS in the right upper limb as the sole manifestation of illness. Bilateral cervical ribs and depression were co‑incidental findings. Patient responded well to dopaminergic therapy.

Keywords

Cervical ribs

depression

restless leg syndrome

Show Related Articles from PubMed

Conflicts of interest

None declared

REFERENCES

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Chabli A, Michaud M, Montplaisir J, . Periodic arm movements in patients with the restless legs syndrome. Eur Neurol. 2000;44:133-8.
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Wang J, O’-Reilly B, Venkataraman R, Mysliwiec V, Mysliwiec A, . Efficacy of oral iron in patients with restless legs syndrome and a low-normal ferritin: A randomized, double-blind, placebo-controlled study. Sleep Med. 2009;10:973-5.
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Baughman K. R., Bourguet C. C., Ober S. K., . Gender differences in the association between antidepressant use and restless legs syndrome. Mov Disord. 2009;24:1054-9.
[Google Scholar]
Bayard M, Bailey B, Acharya D, Ambreen F, Duggal S, Kaur T, et al. . Bupropion and restless legs syndrome: A randomized controlled trial. J Am Board Fam Med. 2011;24:422-8.
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[1] Rye D. B., . Contemporary diagnosis and management of restless leg syndrome. Pennsylvania, USA: Handbooks in Health Care Co; 2009.
[Google Scholar]

[2] American Academy of Sleep Medicine , . International classification of sleep disorders: Diagnostic and coding manual. (2nd ed). Westchester: American Academy of Sleep Medicine; 2005.
[Google Scholar]

[3] Freedom T, Merchut M. P., . Arm restlessness as initial symptom in restless leg syndrome. Arch Neurol. 2003;60:1013-5.
[Google Scholar]

[4] Horvath J, Landis T, Burkhard P. R., . Restless arms. Lancet. 2008;371:530.
[Google Scholar]

[5] Hooper T. L., Denton J, Mc Gillard M. K., Brismee J. M., Sizer P. S. Jr, . Thoracic outlet syndrome: A controversial clinical condition. Part 1: Anatomy, and clinical examination/diagnosis. J Man Manip Ther. 2010;18:74-83.
[Google Scholar]

[6] Gupta R, Lahan V, Goel D, . Translation and validation of international restless leg syndrome study group severity rating scale (IRLS) in Hindi. Ann Indian Acad Neurol. 2011;14:257-161.
[Google Scholar]

[7] Gupta R, Lahan V, . Translation and validation of insomnia severity index in hindi language. Indian J Psychol Med. 2011;33:172-6.
[Google Scholar]

[8] Chabli A, Michaud M, Montplaisir J, . Periodic arm movements in patients with the restless legs syndrome. Eur Neurol. 2000;44:133-8.
[Google Scholar]

[9] Wang J, O’-Reilly B, Venkataraman R, Mysliwiec V, Mysliwiec A, . Efficacy of oral iron in patients with restless legs syndrome and a low-normal ferritin: A randomized, double-blind, placebo-controlled study. Sleep Med. 2009;10:973-5.
[Google Scholar]

[10] Inoue Y, Kuroda K, Hirata K, Uchimura N, Kagimura T, Shimizu T, . Efficacy, safety and dose-response of pramipexole in Japanese patients with primary restless legs syndrome: Randomized trial. Neuropsychobiology. 2011;63:35-42.
[Google Scholar]

[11] Lee H. B., Hening W. A., Allen R. P., Kalaydjian A. E., Earley C. J., Eaton W. W., et al. . Restless leg syndrome is associated with DSM-IV depressive disorder and panic disorder in the community. J Neuropsychiatry Clin Neurosci. 2008;20:101-5.
[Google Scholar]

[12] Rottach K. G., Schaner B. M., Kirch M. H., Zivotofsky A. Z., Teufel L. M., Gallwitz T, et al. . Restless legs syndrome as side effect of second generation antidepressants. J Psychiatr Res. 2008;43:70-5.
[Google Scholar]

[13] Baughman K. R., Bourguet C. C., Ober S. K., . Gender differences in the association between antidepressant use and restless legs syndrome. Mov Disord. 2009;24:1054-9.
[Google Scholar]

[14] Bayard M, Bailey B, Acharya D, Ambreen F, Duggal S, Kaur T, et al. . Bupropion and restless legs syndrome: A randomized controlled trial. J Am Board Fam Med. 2011;24:422-8.
[Google Scholar]

[15] Brown L. K., Dedrick D. L., Doggett J. W., Guido P. S., . Antidepressant medication use and restless legs syndrome in patients presenting with insomnia. Sleep Med. 2005;6:443-50.
[Google Scholar]

Restlessness in right upper limb as sole presentation of restless legs syndrome

Abstract

ABSTRACT

Keywords

Cervical ribs

depression

restless leg syndrome

Conflicts of interest

REFERENCES

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