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Comorbidities, treatment, and pathophysiology in restless legs syndrome.
Lancet Neurol. 17, 994-1005 (2018)
Restless legs syndrome, also known as Willis-Ekbom disease, is a common neurological condition whose manifestation is affected by complex environmental and genetic interactions. Restless legs syndrome can occur on its own, mostly at a young age, or with comorbidities such as cardiovascular disease, diabetes, and arterial hypertension, making it a difficult condition to properly diagnose. However, the concept of restless legs syndrome as being two entities, primary or secondary to another condition, has been challenged with genetic data providing further insight into the pathophysiology of the condition. Although dopaminergic treatment was formerly the first-line therapy, prolonged use can result in a serious worsening of symptoms known as augmentation. Clinical studies on pregabalin, gabapentin enacarbil, oxycodone-naloxone, and iron preparations have provided new treatment options, but most patients still report inadequate long-term management of symptoms. Studies of the hypoxic pathway activation and iron deficiency have provided valuable information about the pathophysiology of restless legs syndrome that should now be translated into new, more effective treatments for restless legs syndrome.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Review
Schlagwörter
Genome-wide Association; Willis-ekbom Disease; Periodic Limb Movements; Iron-deficiency Anemia; Open-label Extension; Stage Renal-disease; Genetic Risk-factor; Parkinsons-disease; Task-force; Diagnostic-criteria
ISSN (print) / ISBN
1474-4422
e-ISSN
1474-4422
Zeitschrift
Lancet Neurology, The
Quellenangaben
Band: 17,
Heft: 11,
Seiten: 994-1005
Verlag
Elsevier
Verlagsort
360 Park Ave South, New York, Ny 10010-1710 Usa
Nichtpatentliteratur
Publikationen
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Neurogenomics (ING)