Restless Legs Syndrome

Restless legs syndrome is a disease that manifests itself as an unpleasant, unexplained startle and restlessness, which is evident during rest and is usually felt in the legs at night. Although it is called restless legs syndrome when it is first defined, because the restlessness is often in the legs; sleeves are also often added. A constant desire to stretch in the body, tic-like throws can be observed. It often begins in middle age. The frequency in women is 2 times higher than in men. The reported prevalence in our country is around 3%. Those with early onset tend to have a slower course, while those with late onset tend to have a more rapid course. The risk is 3-5 times higher in first-degree relatives of patients. It is divided into two groups, primary and secondary. The primary ones define the group with a genetic predisposition in which no underlying cause can be identified. Secondary ones develop due to the following reasons.

Causes of restless legs syndrome:

1-Diabetes

2-Pregnancy

3-Neuropathy

4-Iron deficiency anemia

5-Absorption disorder syndrome due to gastrointestinal operation

6-Carcinoma

7- Kidney diseases

8-Chronic myelopathy

9- Rheumatological diseases

10-Parkinson’s disease

11-Sleep apnea

12-Some drugs: antidepressant, neuroleptic..

The treatment of patients with secondary restless legs syndrome is directed towards determining the underlying cause and the cause. For example, attacks during pregnancy, especially in the last months, tend to pass after delivery. However, it remains a risk for the future. In those with restless legs syndrome due to iron deficiency, complaints tend to decrease after iron supplementation. In cases with primary restless legs syndrome, non-drug treatment methods should be tried first. In addition, it should be taken into account that alcohol, caffeine and cigarettes may increase existing complaints. In patients who do not benefit from these methods, satisfactory results are obtained with dopaminergic agents applied under the supervision of a doctor. In untreated cases, especially chronic insomnia and related psychiatric diseases are frequently seen. Therefore, early diagnosis and initiation of appropriate treatment are important for quality of life.

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