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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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