https://observatorio.fm.usp.br/handle/OPI/18864
DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | TRINDADE, M. C. | - |
dc.contributor.author | BITTENCOURT, T. | - |
dc.contributor.author | LORENZI-FILHO, G. | - |
dc.contributor.author | ALVES, R. C. | - |
dc.contributor.author | ANDRADE, D. C. de | - |
dc.contributor.author | FONOFF, E. T. | - |
dc.contributor.author | BOR-SENG-SHU, E. | - |
dc.contributor.author | MACHADO, A. A. | - |
dc.contributor.author | TEIXEIRA, M. J. | - |
dc.contributor.author | BARBOSA, E. R. | - |
dc.contributor.author | TRIBL, G. G. | - |
dc.date.accessioned | 2017-04-07T15:08:58Z | - |
dc.date.available | 2017-04-07T15:08:58Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | ACTA NEUROLOGICA SCANDINAVICA, v.135, n.2, p.211-218, 2017 | - |
dc.identifier.issn | 0001-6314 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/18864 | - |
dc.description.abstract | ObjectiveTo determine characteristics, clinical significance, frequency, and mimics of restless legs syndrome (RLS) in a cohort of Wilson's disease (WD, n = 42/f = 18), compared to healthy, matched controls. Materials and methodsStructured clinical interviews (patients and caregiving family members), repeated neurological examinations (afternoon and presleep), comprehensive laboratory tests, WD-, RLS-, and sleep-specific rating scales, and video-polysomnography. ResultsThirteen patients with WD (13/42 = 31.0%) clearly fulfilled the five diagnostic criteria of RLS; in eight patients (19.1%), the burden of RLS was clinically significant. The RLS was of moderate severity, equally distributed among sexes, manifested mainly in the evening and before falling asleep, and had developed mostly after clinical manifestation of WD (time elapsed 10.2 14.5 years), still at a young mean age (27.5 +/- 11.5 years). The known RLS-associated features were absent (normal iron and kidney parameters) or rare (positive family history, polyneuropathy). Compared to WD patients without RLS, patients with RLS were significantly elder and had suffered longer from WD. WD-specific RLS mimics as well as RLS confounding motor comorbidities (dystonia, tremor, chorea) were frequent and a diagnostic challenge; in difficult cases, the differentiation was reached by clinical observation of the motor behavior in the evening or at nighttime. ConclusionRLS was frequent in this cohort of WD and might be causally related to WD. RLS should be included in the diagnostic work-up of WD. In complex motor disorders, differential diagnosis of RLS might require evening/nighttime examination and video-polysomnography. In WD patients with a clinically significant RLS, treatment with dopaminergic substances may be considered. | - |
dc.description.sponsorship | Sao Paulo Research Foundation (FAPESP, Fundacao de Amparo a Pesquisa do Estado de Sao Paulo) [2012/05403-3] | - |
dc.language.iso | eng | - |
dc.publisher | WILEY-BLACKWELL | - |
dc.relation.ispartof | Acta Neurologica Scandinavica | - |
dc.rights | restrictedAccess | - |
dc.subject | frequency | - |
dc.subject | restless legs syndrome | - |
dc.subject | restless legs syndrome mimics | - |
dc.subject | Willis-Ekbom disease | - |
dc.subject | Wilson's disease | - |
dc.subject.other | study-group irlssg | - |
dc.subject.other | l-dopa | - |
dc.subject.other | brazilian portuguese | - |
dc.subject.other | parkinsons-disease | - |
dc.subject.other | rating-scale | - |
dc.subject.other | iron | - |
dc.subject.other | validation | - |
dc.subject.other | sleep | - |
dc.subject.other | disorders | - |
dc.subject.other | movements | - |
dc.title | Restless legs syndrome in Wilson's disease: frequency, characteristics, and mimics | - |
dc.type | article | - |
dc.rights.holder | Copyright WILEY-BLACKWELL | - |
dc.identifier.doi | 10.1111/ane.12585 | - |
dc.identifier.pmid | 26940540 | - |
dc.subject.wos | Clinical Neurology | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | TRINDADE, M. C.:Univ Sao Paulo, Div Neurol & Neurosurg, Sch Med, Hosp Clin, Sao Paulo, Brazil | - |
hcfmusp.description.beginpage | 211 | - |
hcfmusp.description.endpage | 218 | - |
hcfmusp.description.issue | 2 | - |
hcfmusp.description.volume | 135 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | 2-s2.0-84959521965 | - |
hcfmusp.origem.id | WOS:000392496800009 | - |
hcfmusp.publisher.city | HOBOKEN | - |
hcfmusp.publisher.country | USA | - |
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dc.description.index | MEDLINE | - |
dc.identifier.eissn | 1600-0404 | - |
hcfmusp.citation.scopus | 16 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
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