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Uncomfortable and unpleasant sensations in the legs without an urge to move as the initial manifestation of Parkinson’s disease

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Abstract

A 74-year-old man presented with creepy, dull and restless sensation of the legs for a year. The abnormal leg sensation occurred predominantly during rest and evening. However, the patient denied having the urge to move his legs. The abnormal sensations did not fulfill the criteria for restless legs syndrome (RLS) or leg motor restlessness, a condition in which an urge to move the legs exists but not fulfilling 4 essential features of RLS. Neurological examination showed right-side dominant parkinsonism. Dopaminergic treatment provided marked improvement in the leg restlessness and parkinsonism. Any restlessness or abnormal sensation in the legs at late-onset could be an early sensorimotor manifestation of PD.

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Authors and Affiliations

  1. Department of Neurology, Dokkyo Medical University, 880 Kitakobayashi, Shimotsuga, Mibu, Tochigi, 321-0293, Japan

    Keisuke Suzuki, Takeo Matsubara, Hirotaka Sakuramoto & Koichi Hirata

Authors
  1. Keisuke Suzuki
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  2. Takeo Matsubara
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  3. Hirotaka Sakuramoto
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  4. Koichi Hirata
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Correspondence to Keisuke Suzuki.

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The authors declare that they have no potential conflicts of interest in relation to this article.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient included in the study.

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Suzuki, K., Matsubara, T., Sakuramoto, H. et al. Uncomfortable and unpleasant sensations in the legs without an urge to move as the initial manifestation of Parkinson’s disease. Sleep Biol. Rhythms 16, 369–370 (2018). https://doi.org/10.1007/s41105-018-0160-z

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  • DOI: https://doi.org/10.1007/s41105-018-0160-z

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