EncycloReader

	Restless legs syndrome Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Restless legs syndrome from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Restless legs syndrome diagnostic study of choice On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Restless legs syndrome diagnostic study of choice All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Restless legs syndrome diagnostic study of choice
CDC on Restless legs syndrome diagnostic study of choice
Restless legs syndrome diagnostic study of choice in the news
Blogs on Restless legs syndrome diagnostic study of choice
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Restless legs syndrome diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview[edit | edit source]

Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed. Restless leg syndrome is mainly diagnosed based on clinical presentation. Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: 1. An urge to move the legs, accompanied with or caused by unpleasant sensations in the legs. Sometimes the urge is present without unpleasant sensations, and sometimes these sensations are present in arms. 2.Urge to move the legs is present when resting or inactive 3. Urge to move the legs is partially or totally relieved with movement. 4. Urge to move or unpleasant sensations are worse at night time as compared to day or only occur at night.

Diagnostic Study of Choice[edit | edit source]

Study of choice[edit | edit source]

Restless leg syndrome is mainly diagnosed based on clinical presentation.

Diagnostic Criteria[edit | edit source]

Many times, because there is no single test that can diagnose restless leg syndrome, the diagnosis of restless leg syndrome may be missed.^[1]

Restless leg syndrome is mainly diagnosed based on clinical presentation. ^[2]

Restless leg syndrome may be diagnosed at any time if one or more of the following criteria are met: ^[1]
1. An urge to move the legs, accompanied with or caused by unpleasant sensations in the legs. Sometimes the urge is present without unpleasant sensations, and sometimes these sensations are present in arms.
2. Urge to move the legs is present when resting or inactive.
3. Urge to move the legs is partially or totally relieved with movement.
4. Urge to move or unpleasant sensations are worse at night time as compared to day or only occur at night.

Diagnosis of restless leg syndrome may be confirmed with:^[1]
- Family history
- Positive response to dopaminergic drugs.

False positive diagnosis of restless leg syndrome have been reported in more than 10% of the investigated populations and include conditions such as:^[1]
- Nocturnal cramps
- Various neuropathies

Reatless leg syndrome may be underdiagnosed because of poor recognition of symptoms.
No guideline has been published describing how the criteria should be applied, and there is a lack of information about how essential and supportive criteria or associated features are related.

References[edit | edit source]

↑ ^1.0 ^1.1 ^1.2 ^1.3 Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH (2014). "In adults what is the best diagnostic test for restless leg syndrome?". J Okla State Med Assoc. 107 (8): 432–4. PMC 4734084. PMID 25326946.
↑ Hening WA, Allen RP, Washburn M, Lesage SR, Earley CJ (2009). "The four diagnostic criteria for Restless Legs Syndrome are unable to exclude confounding conditions ("mimics")". Sleep Med. 10 (9): 976–81. doi:10.1016/j.sleep.2008.09.015. PMC 2769267. PMID 19185537.

Template:WH Template:WS

[pmid25326946-1] 1.0 ^1.1 ^1.2 ^1.3 Fida A, Egbe S, Scheid DC, Welborn TL, McCarthy LH (2014). "In adults what is the best diagnostic test for restless leg syndrome?". J Okla State Med Assoc. 107 (8): 432–4. PMC 4734084. PMID 25326946.

[pmid19185537-2] Hening WA, Allen RP, Washburn M, Lesage SR, Earley CJ (2009). "The four diagnostic criteria for Restless Legs Syndrome are unable to exclude confounding conditions ("mimics")". Sleep Med. 10 (9): 976–81. doi:10.1016/j.sleep.2008.09.015. PMC 2769267. PMID 19185537.

[1]

[2]