Persistence of Secondary Restless Legs Syndrome in a Phantom Limb Caused by End-stage Renal Disease
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- Nishida Shingo
- Yoyogi Sleep Disorder Center, Japan Department of Somnology, Tokyo Medical University, Japan Department of Psychiatry, Jichi Medical University, Japan
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- Hitsumoto Akiko
- Yoyogi Sleep Disorder Center, Japan
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- Namba Kazuyoshi
- Yoyogi Sleep Disorder Center, Japan
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- Usui Akira
- Yoyogi Sleep Disorder Center, Japan
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- Inoue Yuichi
- Yoyogi Sleep Disorder Center, Japan Department of Somnology, Tokyo Medical University, Japan
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抄録
Our patient had secondary restless legs syndrome (RLS) in the left lower limb caused by end-stage renal disease (ESRD). Severe RLS symptoms persisted even after amputation of the affected limb. Considering that oral administration of a dopamine receptor agonist was effective in treating the RLS in the phantom limb in this case, dysfunction of the central dopaminergic system was thought to be involved in the phantom limb-RLS mechanism. The persistence of RLS symptoms even after amputation of the affected limb suggests that the area responsible for ESRD-related RLS symptoms exists at the spinal level or in the higher central nervous system.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (7), 815-818, 2013
一般社団法人 日本内科学会
