Huzursuz Bacak Sendromlu Hastalarda Tibial Sinir İletimi

Abstract

Objective: Pathogenesis and clinical correlations of restless legs syndrome are diverse. Its presentation with the neuropathy clinic can be confusing. The aim of this study is to review nerve conductions of lower extremities in patients with restless legs syndrome and to identify possible differences.Material and Methods: Distal nerve conductions of the lower extremities were evaluated cross-sectionally in 32 patients diagnosed with restless legs syndrome according to the battery of diagnosis for restless legs syndrome and additional symptoms were questioned. Motor and sensory nerve conductions were assessed with standard protocol. The demographic, clinical features and nerve conductions of restless legs syndrome patients who were on treatment were compared. The results were compared with the healthy control group (n=29).Results: Neurological examinations of all patients were within normal limits. Both groups were similar in age and gender. Peroneal and sural nerve conduction parameters were not different in both groups (p>0.05). However, the tibial nerve parameters showed a decrease in amplitude and prolongation in distal latency was observed in the patients (p=0.003, p<0.001). We found that the tibial nerve conduction velocity was slower in the patient group (p<0.001).Conclusion: The results show that in restless legs syndrome patients, tibial nerve conduction parameters may vary according to the control group. Before starting the necessary and appropriate treatment in restless legs syndrome patients, it should be noted that, even if the etiological investigation has been done before, it may be important to renew the tests for an optimal treatment plan.