Restless leg syndrome in children
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Restless leg syndrome in children. M MaldonadoMD. Restless leg syndrome. Described in 1953 Thought to be circumscribed to adults, Recently described in children Important cause of hypersomnia an d Fragmentation of sleep leading to irritability and restlessness the next day.

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Restless leg syndrome
Restless leg syndrome

  • Described in 1953

  • Thought to be circumscribed to adults,

  • Recently described in children

  • Important cause of hypersomnia an d

  • Fragmentation of sleep leading to irritability and restlessness the next day


Restless leg movements two types
Restless leg movements. Two types

  • I. On sleep onset the child feels that he/she has to move legs, due to tingling or uncomfortable sensations. Cannot be still. Hard to go to sleep or in phases I and II

  • II. Once asleep, during phases III and IV, person moves leg periodically, in episodic way, maybe every 1 to 5 min.

  • This leads to sleep fragmentation


Clinical picture
Clinical picture

  • Dysestesias in the legs. Often confused with growing pains, or with “leg gone to sleep”, as there is tingling.

  • Moving the legs alleviates the sensation

  • Leads to long time to go to sleep

  • Parents complain more than 30min to fall asleep


Clinical picture1
Clinical picture

  • Sleep interrupted by sleep,

  • On average six awaking per hour

  • Fragmentation of sleep III and IV

  • Leading to hypersomnia during the day

  • And complains that the child wakes up during the night


Restless leg syndrome1
Restless leg syndrome

  • Genetic determination

  • Autosomic gene?, dominant?

  • Deficit of Iron

  • Diabetes Mellitus ( neuropathy)

  • Peripheral neuropathy

  • Often coexists with attention deficit dis.

  • And with motor restlessness during the day and awake states


Treatment
Treatment

  • Treat associated conditions, eg. ADHD

  • Caffeine restriction. Sleep routine

  • Clonidine, Guanfasine

  • Clonazepam may reduce movements

  • Levo dopa (adolescents)


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