脑梗死继发不宁腿综合征1例并文献复习

Restless legs syndrome secondary to cerebral infarction: one case report and literature review

目的探讨脑梗死继发不宁腿综合征的临床特点、影像表现、诊断及治疗。方法报道1例脑梗死继发不宁腿综合征患者的临床表现及诊治过程,总结临床特征并进行相关文献复习。结果患者为中年男性,表现为突发左侧上肢轻度无力,同时伴发夜间加重且难以名状的左上肢不适感,严重影响睡眠,予患者吡贝地尔缓释片口服后左上肢不适感明显减轻,患者临床痊愈。结论脑梗死是继发性不宁腿综合征的可能病因之一,易于漏诊,补充多巴胺能药物试验性治疗有利于该病早期诊断,预后良好。

Objective To investigate the clinical presentation, imaging, diagnosis and treatment of restless legs syndrome secondary to cerebral infarction. Methods One case of restless legs syndrome secondary to cerebral infarction was reported. The related literature were reviewed and the clinical features were summarized. Results A middle - aged male patient presented with mild weakness accompanied by consistent, vague discomfort of left upper limb. The discomfort aggTavated at night and made him upset and sleepless. Oral administration of piribedil sustained - re- lease tablets proved curative with eventual relief of the symptoms. Conclusion Restless legs syndrome secondary to cerebral infarction is usually underdiagnosed, dopaminergic treatment proved helpful to early diagnosis and treatment. The prognosis is well.