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Restless leg syndrome in children

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 in children

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  1. Restless leg syndrome in children M MaldonadoMD

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. Treatment • Treat associated conditions, eg. ADHD • Caffeine restriction. Sleep routine • Clonidine, Guanfasine • Clonazepam may reduce movements • Levo dopa (adolescents)

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