J Korean Sleep Res Soc.  2013 Dec;10(2):59-61.

Contralateral Periodic Limb Movement during Sleep after Ischemic Stroke in the Globus Pallidus

Affiliations
  • 1Laboratory of Sleep Disorders, Department of Neurology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. neurofan@schmc.ac.kr

Abstract

Periodic limb movement during sleep (PLMS) occurs most prevalently in the restless legs syndrome (RLS), but it can also co-occur with various medical and neurological disorders, including cerebrovascular stroke. Previously reported cases of PLMS following ischemic stroke exhibited different clinical manifestations according to the lesion site. These cases of PLMS were associated with motor weakness with or without RLS. A 53-year-old male patient presented with dysarthria without other limb motor weakness after the right globus pallidus infarction. Overnight video-polysomnography revealed newly developed PLMS in the left leg without symptoms of RLS. This case indicates that the globus pallidus could be involved in the pathophysiology of PLMS without RLS.

Keyword

Periodic limb movement; Stroke; Basal ganglia

MeSH Terms

Basal Ganglia
Dysarthria
Extremities*
Globus Pallidus*
Humans
Infarction
Leg
Male
Middle Aged
Nervous System Diseases
Restless Legs Syndrome
Stroke*
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