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DBS Improves Restless Legs Syndrome in PD

Neurology; ePub 2018 Aug 15; Klepitskaya, et al

Subthalamic nucleus (STN) deep brain stimulation (DBS) significantly decreased restless legs syndrome (RLS) symptoms in patients with Parkinson disease (PD) despite a decrease in dopaminergic treatment, a recent study found. Furthermore, this improvement was sustained over a 2-year period. Patients undergoing STN DBS surgery for PD completed the International RLS Study Group Rating Scale (IRLS) and RLS Quality of Life (QoL) questionnaires preoperatively and postoperatively at 6 months, 1 year, and 2 years. The primary outcome measure was IRLS sum score and subscales (severity and impact) and the secondary measure was RLS QoL scores. 22 patients were enrolled. Researchers found:

  • The preoperative IRLS sum scores were 19.59 ± 6.95, severity subscale 12.91 ± 4.33, impact subscale 4.45 ± 2.72, and transformed RLS QoL score 68.30 ± 20.26.
  • The differences between preoperative and averaged postoperative scores were IRLS sum score −7.80, severity subscale −5.50, impact subscale −1.20, and RLS QoL 4.73.
  • There were no correlations between RLS symptoms improvement and PD motor symptoms improvement or reduction in PD medications.
  • Half of the patients had at least 50% improvement and 27% had resolution of their RLS symptoms (IRLS = 0).
Citation:

Klepitskaya O, Liu Y, Sharma S, Sillau SH, Tsai J, Walters AS. Deep brain stimulation improves restless legs syndrome in patients with Parkinson disease. [Published online ahead of print August 15, 2018]. Neurology. doi:10.1212/WNL.0000000000006162.