Globus pallidus deep brain stimulation for refractory idiopathic restless legs syndrome.

Abstract

OBJECTIVE:

The neuroanatomic substrate of restless legs syndrome (RLS) is unknown. Deep brain stimulation (DBS) of the globus pallidus internus (GPi) and other targets is used to treat Parkinson's disease (PD), and RLS symptoms associated with PD have been reported to improve when GPi DBS is used in that population. We wish to test whether GPi DBS can improve idiopathic RLS.

METHOD:

We implanted bilateral GPi DBS in a subject with refractory idiopathic RLS.

RESULTS:

The GPi cells recordings were dissimilar to those of PD. Clinically, the patient had a good, but far from complete, response, which more prominently affected the urge to move and involuntary movements than the painful component.

CONCLUSION:

DBS for RLS remains investigational.

• Authors: William G Ondo, Joseph Jankovic, Richard Simpson, Joohi Jimenez-Shahed
• Journal: Sleep medicine (Sleep Med) Vol. 13 Issue 9 Pg. 1202-4 (Oct 2012) ISSN: 1878-5506 [Electronic] Netherlands
• PMID: 22995627 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012. Published by Elsevier B.V.

Topics

• Deep Brain Stimulation (methods)
• Female
• Globus Pallidus (physiopathology)
• Humans
• Middle Aged
• Restless Legs Syndrome (physiopathology, therapy)
• Treatment Outcome