J Sleep Med.
2017 Jun;14(1):43-45. 10.13078/jsm.17006.
Nocturnal Restless Arms and Face Improved by Dopamine Agonist: Is It a Variant of Restless Legs Syndrome?
- Affiliations
-
- 1Sleep Disorders Center, Department of Neurology, Soonchunhyang University of College of Medicine, Cheonan Hospital, Cheonan, Korea. neurofan@schmc.ac.kr
- 2Department of Physical Medicine and Rehabilitation, Soonchunhyang University of College of Medicine, Cheonan Hospital, Cheonan, Korea.
- 3Department of Clinical Pharmacology, Soonchunhyang University of College of Medicine, Cheonan Hospital, Cheonan, Korea.
- KMID: 2416641
- DOI: http://doi.org/10.13078/jsm.17006
Abstract
- The symptoms of restless legs syndrome (RLS) usually involve legs and can extend to other body parts. However, isolated body parts other than leg have rarely been involved. A 32-year-old woman had abnormal sensations of both forearms and face during night, which caused a difficulty falling in sleep. The symptoms were relieved by shaking and rubbing. She experienced a clear benefit from pramipexole, but a recurrence of restlessness was followed in both arms subsequent to pramipexole withdrawal. Finally, she had been prescribed a dose of 0.375 mg, which was well tolerated for 6 years. We report a case of nocturnal restless arms and face without leg involvement, which was like RLS in terms of clinical criteria except lesion site.
