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Restless Legs Syndrome
Pamela Hamilton-Stubbs, BSN, M.D. Director  Sleep Clinic for Children and Adults Richmond, Virginia Assistant Clinical Professor Virginia Commonwealth University  Medical College of Virginia
Objectives ,[object Object],[object Object],[object Object],Participants will become familiar with
[object Object],Husband of a patient with RLS
Case # 1 ,[object Object]
Definition of RLS ,[object Object]
Presentation of RLS ,[object Object],[object Object],[object Object]
Did you know? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clemens et.al Neurology 2006:67 Pathology is unknown but research is focused on the  dopaminergic diencephalo-spinal pathway
[object Object],[object Object],[object Object],Why the dopaminergic diencephalo-spinal  pathway?
Pathology  ,[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object]
[object Object],Mother of a RLS support group member
Primary RLS ,[object Object],[object Object],[object Object],[object Object]
Primary RLS ,[object Object],[object Object],[object Object]
Mode of inheritance ,[object Object],[object Object],[object Object],[object Object]
Symptomatic RLS ,[object Object]
Disorders Precipitating Symptomatic RLS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis Of RLS In Adults ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis in Children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Essential Diagnostic Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Criteria ,[object Object],[object Object],[object Object]
Pediatric Diagnostic Criteria Continued ,[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation
Sleep History
Diet History
Dietary triggers
Medical History
Family History
Sleep Journals ,[object Object]
[object Object],[object Object],[object Object]
Treatment ,[object Object]
Categories  ,[object Object],[object Object],[object Object]
Symptomatic RLS ,[object Object],[object Object]
Persistent symptomatic RLS ,[object Object]
Nonpharmacologic treatments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nonpharmacologic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sleep Hygiene ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mental distraction ,[object Object]
[object Object],92 year old patient with RLS
Pharmacologic Treatment ,[object Object],[object Object],[object Object],[object Object]
Pharmacologic Treatment ,[object Object],[object Object],[object Object],[object Object]
Pharmacologic Treatment ,[object Object],[object Object],[object Object],[object Object]
Pharmacologic Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dopaminergics ,[object Object],[object Object],[object Object],[object Object]
Pramipexole ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ropinirole ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medication side effect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sedatives ,[object Object],[object Object]
Sedatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benzodiazepines ,[object Object],[object Object]
Anticonvulsants ,[object Object]
Opioids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacologic Management of  Intermittent RLS ,[object Object],[object Object],[object Object],[object Object]
Pharmacologic Management of Daily RLS ,[object Object],[object Object],[object Object],[object Object]
Refractory RLS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Restless Legs Syndrome 2007 Sleep Symposium Nma Folder