Restless legs syndrome diagnostic study of choice: Difference between revisions
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{{CMG}}; {{AE}}{{MMJ}} | {{CMG}}; {{AE}}{{MMJ}} | ||
== Overview == | == Overview == | ||
Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed. Restless leg syndrome is mainly diagnosed based on [[clinical]] presentation. Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: 1. An urge to move the legs, accompanied with or caused by unpleasant [[sensations]] in the legs. Sometimes the urge is present without unpleasant [[sensations]], and sometimes these [[sensations]] are present in arms. 2.Urge to move the legs is present when resting or inactive 3. Urge to move the legs is partially or totally relieved with movement. 4. Urge to move or unpleasant [[sensations]] are worse at night time as compared to day or only occur at night. | |||
== Diagnostic Study of Choice == | == Diagnostic Study of Choice == | ||
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=== Diagnostic Criteria === | === Diagnostic Criteria === | ||
Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed. | Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed.<ref name="pmid25326946">{{cite journal| author=Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH| title=In adults what is the best diagnostic test for restless leg syndrome? | journal=J Okla State Med Assoc | year= 2014 | volume= 107 | issue= 8 | pages= 432-4 | pmid=25326946 | doi= | pmc=4734084 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25326946 }} </ref> | ||
* Restless leg syndrome is mainly diagnosed based on [[clinical]] presentation. | * Restless leg syndrome is mainly diagnosed based on [[clinical]] presentation. <ref name="pmid19185537">{{cite journal| author=Hening WA, Allen RP, Washburn M, Lesage SR, Earley CJ| title=The four diagnostic criteria for Restless Legs Syndrome are unable to exclude confounding conditions ("mimics"). | journal=Sleep Med | year= 2009 | volume= 10 | issue= 9 | pages= 976-81 | pmid=19185537 | doi=10.1016/j.sleep.2008.09.015 | pmc=2769267 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19185537 }} </ref> | ||
* Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: | * Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: <ref name="pmid25326946">{{cite journal| author=Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH| title=In adults what is the best diagnostic test for restless leg syndrome? | journal=J Okla State Med Assoc | year= 2014 | volume= 107 | issue= 8 | pages= 432-4 | pmid=25326946 | doi= | pmc=4734084 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25326946 }} </ref> | ||
*# An urge to move the legs, accompanied with or caused by unpleasant [[sensations]] in the legs. Sometimes the urge is present without unpleasant [[sensations]], and sometimes these [[sensations]] are present in arms. | *# An urge to move the legs, accompanied with or caused by unpleasant [[sensations]] in the legs. Sometimes the urge is present without unpleasant [[sensations]], and sometimes these [[sensations]] are present in arms. | ||
*# Urge to move the legs is present when resting or inactive. | *# Urge to move the legs is present when resting or inactive. | ||
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*# Urge to move or unpleasant [[sensations]] are worse at night time as compared to day or only occur at night. | *# Urge to move or unpleasant [[sensations]] are worse at night time as compared to day or only occur at night. | ||
* Diagnosis of restless leg syndrome may be confirmed with: | * Diagnosis of restless leg syndrome may be confirmed with:<ref name="pmid25326946">{{cite journal| author=Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH| title=In adults what is the best diagnostic test for restless leg syndrome? | journal=J Okla State Med Assoc | year= 2014 | volume= 107 | issue= 8 | pages= 432-4 | pmid=25326946 | doi= | pmc=4734084 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25326946 }} </ref> | ||
** [[Family history]] | ** [[Family history]] | ||
** Positive response to [[dopaminergic]] drugs. | ** Positive response to [[dopaminergic]] drugs. | ||
* False positive diagnosis of | * [[False positive]] diagnosis of restless leg syndrome have been reported in more than 10% of the investigated populations and include conditions such as:<ref name="pmid25326946">{{cite journal| author=Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH| title=In adults what is the best diagnostic test for restless leg syndrome? | journal=J Okla State Med Assoc | year= 2014 | volume= 107 | issue= 8 | pages= 432-4 | pmid=25326946 | doi= | pmc=4734084 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25326946 }} </ref> | ||
** Nocturnal | ** Nocturnal [[cramp]]<nowiki/>s | ||
** Various neuropathies | ** Various [[neuropathies]] | ||
* Reatless leg syndrome may be underdiagnosed because of poor recognition of symptoms. | * Reatless leg syndrome may be underdiagnosed because of poor recognition of symptoms. | ||
Latest revision as of 19:11, 13 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed. Restless leg syndrome is mainly diagnosed based on clinical presentation. Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: 1. An urge to move the legs, accompanied with or caused by unpleasant sensations in the legs. Sometimes the urge is present without unpleasant sensations, and sometimes these sensations are present in arms. 2.Urge to move the legs is present when resting or inactive 3. Urge to move the legs is partially or totally relieved with movement. 4. Urge to move or unpleasant sensations are worse at night time as compared to day or only occur at night.
Diagnostic Study of Choice
Study of choice
- Restless leg syndrome is mainly diagnosed based on clinical presentation.
Diagnostic Criteria
Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed.[1]
- Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: [1]
- An urge to move the legs, accompanied with or caused by unpleasant sensations in the legs. Sometimes the urge is present without unpleasant sensations, and sometimes these sensations are present in arms.
- Urge to move the legs is present when resting or inactive.
- Urge to move the legs is partially or totally relieved with movement.
- Urge to move or unpleasant sensations are worse at night time as compared to day or only occur at night.
- Diagnosis of restless leg syndrome may be confirmed with:[1]
- Family history
- Positive response to dopaminergic drugs.
- False positive diagnosis of restless leg syndrome have been reported in more than 10% of the investigated populations and include conditions such as:[1]
- Nocturnal cramps
- Various neuropathies
- Reatless leg syndrome may be underdiagnosed because of poor recognition of symptoms.
- No guideline has been published describing how the criteria should be applied, and there is a lack of information about how essential and supportive criteria or associated features are related.
References
- ↑ 1.0 1.1 1.2 1.3 Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH (2014). "In adults what is the best diagnostic test for restless leg syndrome?". J Okla State Med Assoc. 107 (8): 432–4. PMC 4734084. PMID 25326946.
- ↑ Hening WA, Allen RP, Washburn M, Lesage SR, Earley CJ (2009). "The four diagnostic criteria for Restless Legs Syndrome are unable to exclude confounding conditions ("mimics")". Sleep Med. 10 (9): 976–81. doi:10.1016/j.sleep.2008.09.015. PMC 2769267. PMID 19185537.