Abstract
Restless leg syndrome (RLS) is a common disorder described as an urge to move the legs. Dopamine, the main neuro-transmitter in the pathophysiology of RLS, is likely related to the development of brain laterality and human handedness. We aimed to compare the prevalence of RLS in right and non-right handers. A checklist including Edinburgh questioner for handedness, questions for RLS diagnosis and basic characteristics was filled out by a sample of population. The exclusion criteria included prolonged use of dopaminergic or psychologic drugs and having diseases with similar symptoms to RLS. The frequency of non-right handers in RLS patients was compared with the controls by Chi square test. P value less than 0.05 was considered significant. 164 persons were divided into RLS patients (69) and non-RLS controls (95). There was no significant difference between demographic characteristics. The prevalence of non-right handers in RLS patients was significantly more than non-RLS controls (P: 0.03). Our finding regarding the higher prevalence of non-right handers in RLS patients needs more justifications based on neuroscientists’ guides. RLS as a disease in which dopaminergic system involves is highly assumed to be linked with handedness. This is just a hypothesis that impaired modulation of immune system in left handers may be accompanied with lower dopamine levels in RLS.
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References
Satija P, Ondo WG (2008) Restless legs syndrome: pathophysiology, diagnosis and treatment. CNS Drugs 22:497–518
Schattschneider J, Bode A, Wasner G, Binder A, Deuschl G, Baron R (2004) Idiopathic restless legs syndrome: abnormalities in central somatosensory processing. J Neurol 251:977–982
Stiasny-Kolster K, Magerl W, Oertel WH, Möller JC, Treede RD (2004) Static mechanical hyperalgesia without dynamic tactile allodynia in patients with restless legs syndrome. Brain 127:773–782
Earley CJ, Allen RP, Connor JR, Ferrucci L, Troncoso J (2009) The dopaminergic neurons of the A11 system in RLS autopsy brains appear normal. Sleep Med 10:1155–1157
Tóth BE, Vecsernyés M, Zelles T, Kádár K, Nagy GM (2012) Role of peripheral and brain derived dopamine (DA) in immune regulation. Adv Neuroimmune Biol 3:111–155
Geschwind N, Behan P (1982) Left-handedness: association with immune disease, migraine, and developmental learning disorder. Proc Natl Acad Sci USA 79:5097–5100
Bryden MP, McManus IC, Bulman-Fleming MB (1994) Evaluating the empirical support for the Geschwind–Behan–Galaburda model of cerebral lateralization. Brain Cogn 26:103–167
Lengen C, Regard M, Joller H, Landis T, Lalive P (2009) Anomalous brain dominance and the immune system: do left-handers have specific immunological patterns? Brain Cogn 69(1):188–193
Nordlander NB (1953) Therapy in restless legs. Acta Med Scand 145:453–457
Trenkwalder C, Högl B, Benes H, Kohnen R (2008) Augmentation in restless legs syndrome is associated with low ferritin. Sleep Med 9:572–574
Grote L, Leissner L, Hedner J, Ulfberg J (2009) Arandomized, double-blind, placebo controlled, multi-center study of intravenous iron sucrose and placebo in the treatment of restless legs syndrome. Mov Disord 24:1445–1452
Inoue Y (2009) Diagnosis and symptom rating scale of restless legs syndrome. Brain Nerve 61(5):533–538
Bayard M, Avonda T, Wadzinkski J (2008) Restless legs syndrome. Am Fam Physician 78(2):235–240
Walters AS for the International Restless Legs Syndrome Study Group (2003) Validation of the international restless legs syndrome study group rating scale for restless legs syndrome. Sleep Med 4(121–132):2
Wetter TC, Pollmacher T (1997) Restless legs and periodic leg movements in sleep syndromes. J Neurol 244(suppl):S37–S45
Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J, Restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health; International Restless Legs Syndrome Study Group (2003) Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 4:101–119
Peeraully T, Tan EK (2012) Linking restless legs syndrome with Parkinson’s disease: clinical, imaging and genetic evidence. Transl Neurodegener 1(1):6
Rios Romenets S, Postuma RB (2013) Treatment of restless legs syndrome. Curr Treat Options Neurol 15(4):396–409
Rothdach AJ, Trenkwalder C, Haberstock J, Keil U, Berger K (2000) Prevalence and risk factors of RLS in an elderly population: the MEMO Memory and Morbidity in Augsburg Elderly. Neurology 54:1064–1068
Allen RP, Walters AS, Montplaisir J et al (2005) Restless legs syndrome prevalence and impact: REST General Population Study. Arch Intern Med 165:1286–1292
Najafi MR, Saadatnia M, Saffarifard A, Keyhanian K, Davoudi V (2011) Epidemiology of restless legs syndrome in the Iranian population. Sleep Biol Rhythm 9:56–59
Vahdat M, Sariri E, Miri S, Rohani M, Kashanian M, Sabet A, Zamani B (2013) Prevalence and associated features of restless legs syndrome in a population of Iranian women during pregnancy. Int J Gynaecol Obstet 123(1):46–49
Minar M, Habanova H, Rusnak I, Planck K, Valkovic P (2013) Prevalence and impact of restless legs syndrome in pregnancy. Neuro Endocrinol Lett 34(5):366–371
Hargens TA, Kaleth AS, Edwards ES, Butner KL (2013) Association between sleep disorders, obesity, and exercise: a review. Nat Sci Sleep 5:27–35
Cozzi A, Santambrogio P, Privitera D, Broccoli V, Rotundo LI, Garavaglia B, Benz R, Altamura S, Goede JS, Muckenthaler MU, Levi S (2013) Human l-ferritin deficiency is characterized by idiopathic generalized seizures and atypical restless leg syndrome. J Exp Med 210(9):1779–1791
Shams S, Asheri H, Kianmehr A, Ziaee V, Koochakzadeh L, Monajemzadeh M, Nouri M, Irani H, Gholami N (2010) The prevalence of iron deficiency anaemia in female medical students in Tehran. Singap Med J 51(2):116–119
Oldfield RC (1971) The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychololgia 9:97–113
Medland SE, Duffy DL, Wright MJ, Geffen GM, Hay DA, Levy F et al (2008) Genetic influences on handedness: data from 25,732 Australian and Dutch twin families. Neuropsychologia 47:330–337
Titus-Ernstoff L, Newcomb PA, Egan KM, Baron JA, Greenberg ER, Trichopoulos D et al (2000) Left handedness in relation to breast-cancer risk in postmenopausal women. Epidemiology 11:181–184
Morfit NS, Weekes NY (2001) Handedness and immune function. Brain Cogn 46:209–213
Wisniewski AB (1998) Sexually-dimorphic patterns of cortical asymmetry, and the role for sex steroid hormones in determining cortical patterns of lateralization. Psychoendocrinology 23:519–547
Zhao W, Huang Y, Liu Z, Cao BB, Peng YP, Qiu YH (2013) Dopamine receptors modulate cytotoxicity of natural killer cells via cAMP-PKA-CREB signaling pathway. PLoS One 8(6):e65860
Glick SD (1983) Cerebral lateralization in the rat and tentative extrapolations to man. In: Myslobodsky MS (ed) Hemisyndromes: psychobiology, neurology, psychiatry. Academic Press, New York, pp 7–23
Bracha HS, Seitz DJ, Otemaa J, Glick SD (1987) Rotational movement (circling) in normal humans: sex difference and relationship to hand, foot and eye preference. Brain Res 411:231–235
Kooistra CA, Heilman KM (1988) Motor dominance and lateral asymmetry of the globus pallidus. Neurology 38:388–390
Mohr C, Landis T, Bracha HS, Brugger P (2003) Opposite turning behavior in right-handers and non-right-handers suggests a link between handedness and cerebral dopamine asymmetries. Behav Neurosci 117(6):1448–1452
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Ghourchian, S., Bahrami, P. The higher prevalence of non-right handers among patients with restless leg syndrome. Neurol Sci 35, 1909–1913 (2014). https://doi.org/10.1007/s10072-014-1860-z
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DOI: https://doi.org/10.1007/s10072-014-1860-z