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[Restless legs syndrome and periodic limb movements during sleep in a patient with obstructive sleep apnea].

Luiza Jonczak, Dariusz Kamiński, Robert Pływaczewski, Michał Bednarek, Jan Zieliński
Other Neurologia i neurochirurgia polska 2004 2 sitasi
PubMed
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Study Design

Jenis Studi
Case Reports
Ukuran Sampel
1
Populasi
Patient with moderate OSA and PLMS
Intervensi
[Restless legs syndrome and periodic limb movements during sleep in a patient with obstructive sleep apnea]. None
Pembanding
None
Luaran Utama
PLMS with sleep fragmentation despite CPAP
Arah Efek
Mixed
Risiko Bias
High

Abstract

A case of moderate obstructive sleep apnea in which effective treatment with continuous positive airway pressure did not reduce excessive daytime sleepiness was described. Polysomnography with tibial muscles activity recording revealed frequent periodic limb movements in sleep (PLMS) with sleep fragmentation. PLMS index was 13.6/h of sleep. Clonazepam combined with iron and magnesium supplementation reduced limb movements, excessive daytime sleepiness and improved the patient's mood. Causes of PLMS and treatment options are discussed. PLMS and restless legs syndrome (RLS) should be considered in the differential diagnosis of excessive daytime sleepiness.

TL;DR

Polysomnography with tibial muscles activity recording revealed frequent periodic limb movements in sleep (PLMS) with sleep fragmentation, and Clonazepam combined with iron and magnesium supplementation reduced limb movements, excessive daytime sleepiness and improved the patient's mood.

Used In Evidence Reviews

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