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Restless legs with antiepileptic drug therapy.

Abstract
The restless legs syndrome is generally benign but is occasionally associated with anemia, metabolic disorder, or polyneuropathy. Leg restlessness with disruptive nocturnal myoclonus has been described as a sleep disorder. We report two patients with complex partial and secondarily generalized seizures, who developed restless legs while taking methsuximide and phenytoin. They had no evidence of metabolic disturbance or neuromuscular disease, although one patient had fragmented sleep and disruptive myoclonus on polysomnography, and leg restlessness subsided with change of antiepileptic drugs. These symptoms could reflect transient alteration in peripheral nerve function not evident by examination or electrophysiologic studies, sleep disturbance by antiepileptic drugs or the effects of temporal lobe seizure foci on perception of the physiologic state of nerves and muscles.
AuthorsM E Drake
JournalClinical neurology and neurosurgery (Clin Neurol Neurosurg) Vol. 90 Issue 2 Pg. 151-4 ( 1988) ISSN: 0303-8467 [Print] Netherlands
PMID3145164 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anticonvulsants
Topics
  • Adult
  • Anticonvulsants (adverse effects, therapeutic use)
  • Drug Therapy, Combination
  • Epilepsy, Post-Traumatic (drug therapy)
  • Epilepsy, Temporal Lobe (drug therapy)
  • Female
  • Humans
  • Intracranial Aneurysm (surgery)
  • Male
  • Middle Aged
  • Postoperative Complications (drug therapy)
  • Restless Legs Syndrome (chemically induced)

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