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  Vol. 60 No. 7, July 2003 TABLE OF CONTENTS
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Arm Restlessness as the Initial Symptom in Restless Legs Syndrome

Thomas Freedom, MD; Michael P. Merchut, MD

Arch Neurol. 2003;60:1013-1015.

Background  Upper extremity symptoms can develop in restless legs syndrome, but are rarely the initial symptom.

Objectives  To report a case of restless legs syndrome with restless arms as the initial symptom, and to review the literature.

Design  Case report and literature review.

Patient  A 78-year-old man had arm restlessness and sleep disturbance. A polysomnogram demonstrated subclinical periodic leg movements 1 year after the onset of his symptoms.

Results  Two years later, he developed lower extremity symptoms that fit the criteria for restless legs syndrome. To our knowledge, this is the first case of restless legs syndrome with arm restlessness as the initial symptom in an otherwise neurologically normal person.

Conclusion  Restless legs syndrome may initially exhibit upper extremity symptoms.


From the Department of Neurology, Loyola University Medical Center, Maywood, Ill.



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Restless arm symptoms as an extension of restless leg syndrome
Alisky
Age Ageing 2007;36:107-107.
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