Polysomnographic and Clinical Diagnosis of Restless-Legs-Syndrome in a Patient with Amputation of both legs
E Seidel, CA Haensch, J Jörg · Klinische Neurophysiologie · 2006 · Heft 03
Bibliografische Angaben
Zusammenfassung
We report on a 64-year old male patient presenting with severe insomnia since amputation of both upper legs due to diabetes and peripheral arterial occlusive disease with consecutive phantom phenomena. He complained about involuntary jerking of the stumps shaking his bed; self application of tilidin and zopiclone led to some relief. Polysomnography revealed a severely disturbed sleep with extremely reduced sleep efficiency of 29%, staying mostly in stage 1, with absent stages 3 and 4 as well as REM. With surface EMG-electrodes placed on stump muscles, the index of periodic leg movement (PLM) episodes was elevate…