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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 citations
PubMed
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Study Design

Study Type
Case Reports
Sample Size
1
Population
Patient with moderate OSA and PLMS
Intervention
[Restless legs syndrome and periodic limb movements during sleep in a patient with obstructive sleep apnea]. None
Comparator
None
Primary Outcome
PLMS with sleep fragmentation despite CPAP
Effect Direction
Mixed
Risk of 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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