Sleep and Biological Rhythms

, Volume 16, Issue 3, pp 369–370 | Cite as

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

  • Keisuke Suzuki
  • Takeo Matsubara
  • Hirotaka Sakuramoto
  • Koichi Hirata
Case Report


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.


Restless leg syndrome Leg restlessness Early manifestation Parkinson’s disease 


Compliance with ethical standards

Conflict of interest

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

Ethical approval

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.

Informed consent

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


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Copyright information

© Japanese Society of Sleep Research 2018

Authors and Affiliations

  1. 1.Department of NeurologyDokkyo Medical UniversityMibuJapan

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