logging in or signing up 01 rlsss Siro Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 142 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 25, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Slide1: Restless Legs Syndrome: Classification, Diagnosis and Approaches to Treatment Part 1 of 3Restless Legs Syndrome (RLS): Restless Legs Syndrome (RLS) Characterized by... Desire to move in association with paresthesias/dysesthesias of the limbs Motor restlessness www.wemove.orgRestless Legs Syndrome, cont’d: Restless Legs Syndrome, cont’d Characterized by... Provocative factor of rest Improved by movement Evening and nighttime accentuation www.wemove.orgRLS Diagnosis: Minimal Criteria: RLS Diagnosis: Minimal Criteria www.wemove.orgICSD Criteria: RLS: ICSD Criteria: RLS Unpleasant sensations in legs at night Sensations of “creeping” in the calves Relief with movement PSG shows limb movement No medical or psychiatric disorder Other sleep disorder may be present www.wemove.orgSensory Abnormalities: Sensory Abnormalities Desire to move limbs associated with... Paresthesias Dysesthesias www.wemove.orgMotor Abnormalities: Motor Abnormalities Restlessness...Irresistible urge to move Relief with Movement www.wemove.orgProvocative Factor of Rest: Provocative Factor of Rest Symptoms worse or exclusively present at rest, such as while lying down or sitting Partial or temporary relief with motor activity www.wemove.orgEvening and Nighttime Accentuation: Evening and Nighttime Accentuation Worsening symptoms during the evening or night Symptoms typically peak near midnight Seem to follow a Circadian pattern www.wemove.orgRLS: Associated Findings: RLS: Associated Findings Periodic Limb Movements in Sleep (PLMS) Sleep disturbances Dyskinesias While Awake (see next slide) www.wemove.orgDyskinesias While Awake: Dyskinesias While Awake Involuntary and occur at rest Flexion jerk of lower extremities Sporadic, aperiodic, periodic, or in clusters Higher frequency than PLMS Perhaps a “waking counterpart” of PLMS www.wemove.orgTwo Forms of RLS: Two Forms of RLS Idiopathic or primary RLS Familial Sporadic Symptomatic or secondary RLS Renal failure – Iron deficiency Neuropathy – Radiculopathy Diabetes – Pregnancy Rheumatoid arthritis www.wemove.orgPositive Family History: Positive Family History In idiopathic RLS... Fifty to 60% report a close relative or relatives with RLS-associated symptoms www.wemove.orgDisease Course: Disease Course Idiopathic RLS: variable age of onset Symptoms may present during late adulthood Symptoms tend to increase with age Some patients experience remissions www.wemove.orgClinical Characteristics: Clinical Characteristics Mean age of onset is 27 years Unilateral onset in 42% Arm involvement in 25% to 50% www.wemove.orgClinical Features of RLS: Clinical Features of RLS Affects females more than males Sleep disturbance in about 94% Sleep latency insomnia Fragmented or nonrestorative sleep Excessive daytime sleepiness in 22% www.wemove.org You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
01 rlsss Siro Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 142 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: February 25, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... Premium member Presentation Transcript Slide1: Restless Legs Syndrome: Classification, Diagnosis and Approaches to Treatment Part 1 of 3Restless Legs Syndrome (RLS): Restless Legs Syndrome (RLS) Characterized by... Desire to move in association with paresthesias/dysesthesias of the limbs Motor restlessness www.wemove.orgRestless Legs Syndrome, cont’d: Restless Legs Syndrome, cont’d Characterized by... Provocative factor of rest Improved by movement Evening and nighttime accentuation www.wemove.orgRLS Diagnosis: Minimal Criteria: RLS Diagnosis: Minimal Criteria www.wemove.orgICSD Criteria: RLS: ICSD Criteria: RLS Unpleasant sensations in legs at night Sensations of “creeping” in the calves Relief with movement PSG shows limb movement No medical or psychiatric disorder Other sleep disorder may be present www.wemove.orgSensory Abnormalities: Sensory Abnormalities Desire to move limbs associated with... Paresthesias Dysesthesias www.wemove.orgMotor Abnormalities: Motor Abnormalities Restlessness...Irresistible urge to move Relief with Movement www.wemove.orgProvocative Factor of Rest: Provocative Factor of Rest Symptoms worse or exclusively present at rest, such as while lying down or sitting Partial or temporary relief with motor activity www.wemove.orgEvening and Nighttime Accentuation: Evening and Nighttime Accentuation Worsening symptoms during the evening or night Symptoms typically peak near midnight Seem to follow a Circadian pattern www.wemove.orgRLS: Associated Findings: RLS: Associated Findings Periodic Limb Movements in Sleep (PLMS) Sleep disturbances Dyskinesias While Awake (see next slide) www.wemove.orgDyskinesias While Awake: Dyskinesias While Awake Involuntary and occur at rest Flexion jerk of lower extremities Sporadic, aperiodic, periodic, or in clusters Higher frequency than PLMS Perhaps a “waking counterpart” of PLMS www.wemove.orgTwo Forms of RLS: Two Forms of RLS Idiopathic or primary RLS Familial Sporadic Symptomatic or secondary RLS Renal failure – Iron deficiency Neuropathy – Radiculopathy Diabetes – Pregnancy Rheumatoid arthritis www.wemove.orgPositive Family History: Positive Family History In idiopathic RLS... Fifty to 60% report a close relative or relatives with RLS-associated symptoms www.wemove.orgDisease Course: Disease Course Idiopathic RLS: variable age of onset Symptoms may present during late adulthood Symptoms tend to increase with age Some patients experience remissions www.wemove.orgClinical Characteristics: Clinical Characteristics Mean age of onset is 27 years Unilateral onset in 42% Arm involvement in 25% to 50% www.wemove.orgClinical Features of RLS: Clinical Features of RLS Affects females more than males Sleep disturbance in about 94% Sleep latency insomnia Fragmented or nonrestorative sleep Excessive daytime sleepiness in 22% www.wemove.org