Psychiatr. pro Praxi, 2003; 2: 57-59

Syndrom neklidných končetin

MUDr. Martin Pretl CSc
Neurologická klinika 1. LF UK a VFN, Praha

Keywords: restless legs syndrome, patophysiology, diagnosis, treatment.

Published: December 31, 2003  Show citation

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Pretl M. Syndrom neklidných končetin. Psychiatr. praxi. 2003;4(2):57-59.

Syndrom neklidných končetin (RLS) je definován čtyřmi základními diagnostickými kritérii: (1) nepříjemnými pocity v končetinách (dysestézie), které vyvolávají (2) motorický neklid a nutkavý pocit k pohybu (3). Maximum obtíží se vyskytuje v klidu (4), večer a časně v noci. Patofyziologickým podkladem se zdá být dysfunkce v oblasti dopaminergního systému. K diagnóze postačuje dobrá anamnéza, eventuálně polysomnografické vyšetření či aktigrafie. Léčba spočívá v podávání L-Dopy, agonistů dopaminu či opioidů.

Restless legs syndrome

Primary features of restless legs syndrome (RLS) are: an urge to move, usually due to uncomfortable sensations, motor restlessness, expressed as activity, that relieves the urge to move, worsening of symptoms by relaxation mainly in the evening and in the early night. Dopaminergic system dysfunction is suspected. Diagnosis is established on interviewing the patient and by polysomnography or actigraphy. L-Dopa, dopamine agonists and opioids are most recommended in therapy.

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