Abstract
Further thoughts on ‘‘The Restless Legs Syndrome: Would You Like that with Movements or Without?’’: Summary of Evidence that the Presence of Periodic Limb Movements in Sleep Does Not Significantly Aid in the Diagnosis of Restless Legs Syndrome/Willis–Ekbo
Highlights
I read with interest the article by Brian Koo ‘‘The Restless Legs Syndrome: Would you like that with movements or without?’’ published in Tremor and Other Hyperkinetic Movements.[1]
In this contribution Dr Koo does a superb job in marshaling evidence that restless legs syndrome/Willis–Ekbom disease (RLS/WED) and periodic limb movements in sleep (PLMS) share a common pathophysiology, pharmacology, genetics, and epidemiology, and that they may share a similar clinical relevance in relation to cardiovascular disease
Another approach by Benes et al.[4] similar to the one recommended by Dr Koo is to take the non-essential but supportive and associated criteria for RLS established by the international RLS Study and formally study to what degree they improve the diagnosis of idiopathic RLS/WED when added to the four essential criteria
Summary
I read with interest the article by Brian Koo ‘‘The Restless Legs Syndrome: Would you like that with movements or without?’’ published in Tremor and Other Hyperkinetic Movements.[1]. The argument is made that measurement of PLMS may add to the diagnostic accuracy of RLS/WED diagnosis.
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