Restless Legs Syndrome with Obstructive Sleep Apnea
Video demonstrates restless legs syndrome (RLS) in a 72-year-old man. Note the severe kicking of the legs against one another. Polysomnography is not required for the diagnosis of RLS in adults but may be useful if other comorbidities are thought to exacerbate the condition. This patient presented with RLS symptoms and apneic spells and was subsequently diagnosed and treated for obstructive sleep apnea, which resulted in some improvement of his RLS symptoms. The patient’s RLS symptoms did not respond to traditional first-line agents (dopamine agonists and gabapentin enacarbil) but responded well to opioid therapy, which resulted in some improvement.
Alon Y. Avidan, MD, MPH, FAASM
CONTINUUM: Lifelong Learning in Neurology. 19(1, Sleep Disorders):170-184, February 2013