A 75-year-old woman consults for insomnia. She reports that for years she has been waking up at night with a tingling, burning sensation in the legs and sometimes in the arms; these symptoms also occur in the afternoon. She notices improvement when moving her legs, but the symptoms recur during rest, so she cannot fall asleep again. This picture could lead us to the diagnosis of restless legs syndrome Which of the following is FALSE?
The diagnosis is based on clinical criteria, so muscle biopsy is only performed to rule out other diseases, not to confirm this one. An iron profile, thyroid hormone and vitamin determinations should be performed to rule out other diseases with similar symptomatology. Treatment is symptomatic and is instituted when it interferes with sleep or quality of life, and the first choice treatment is dopamine agonists such as pramipexole and ropirinol.
The diagnosis of this affectation is based on clinical criteria.
A basic blood test including iron profile, thyroid hormones and B 12 and folic acid should be performed.
The treatment would be indicated in patients who present alteration of sleep or quality of life but does not alter the course of the disease.
The diagnosis is confirmed by muscle biopsy.
Pramipexole and ropirinol are used in the treatment.
An iron profile, thyroid hormone and vitamin determinations should be performed to rule out other diseases with similar symptomatology.
Treatment is symptomatic and is instituted when it interferes with sleep or quality of life, and the first choice treatment is dopamine agonists such as pramipexole and ropirinol.
The diagnosis is based on clinical criteria, so muscle biopsy is only performed to rule out other diseases, not to confirm this one.
Treatment is symptomatic and is instituted when it interferes with sleep or quality of life, and the first choice treatment is dopamine agonists such as pramipexole and ropirinol.