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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 цитирований
PubMed
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Study Design

Тип исследования
Case Reports
Размер выборки
1
Популяция
Patient with moderate OSA and PLMS
Вмешательство
[Restless legs syndrome and periodic limb movements during sleep in a patient with obstructive sleep apnea]. None
Препарат сравнения
None
Первичный исход
PLMS with sleep fragmentation despite CPAP
Направление эффекта
Mixed
Риск систематической ошибки
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.

Кратко

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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