最近审阅: 4 十一月 2020
最近更新: 26 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 睡眠质量差
  • 白天打瞌睡和疲乏
  • 周期性肢体运动(多为腿部运动)

其他诊断因素

  • 年龄>70 岁
  • 夜间再现梦境
  • 无法抗拒的动腿冲动和下肢感觉异常
  • 打鼾
  • 清晨口干
  • 头痛
  • 体重指数升高
  • 停止服用苯二氮卓类或巴比妥类
  • 神经松弛药物治疗史
  • 多巴胺能药物治疗史
  • 苍白
  • 铁缺乏症
  • 糖尿病
  • 脊髓损伤
  • 白天骤然发作睡眠;可能伴或不伴肌肉张力丧失。

危险因素

  • 年龄>70 岁
  • 女性

诊断性检查

首要检查

  • 多导睡眠图:肢体运动的肌电图评估
  • 多导睡眠图:脑电图评估
  • 多导睡眠图:评估睡眠障碍性呼吸
  • 全血细胞计数 (FBC)
  • 血清铁蛋白
  • 尿素
  • Epworth 嗜睡量表
更多 首要检查

新兴检查

  • 活动记录仪检查
更多 新兴检查

治疗流程

撰稿人

Neurology Registrar

Department of Clinical Neurosciences

Western General Hospital

Edinburgh

UK

利益声明

TS has been reimbursed for travel and attendance to the Multiple Sclerosis Academy MasterClass by Biogen.

Suvankar Pal

Consultant Neurologist and Honorary Senior Lecturer

Department of Clinical Neurosciences

Western General Hospital

Edinburgh

UK

利益声明

SP declares that he has no competing interests.

Richard Davenport

Consultant Neurologist and Honorary Senior Lecturer

Department of Clinical Neurosciences

Western General Hospital

Edinburgh

UK

利益声明

RD declares that he has no competing interests.

同行评议者展开全部内容

Consultant Neurologist

James Cook University Hospital

Middlesbrough

UK

利益声明

PR declares that he has no competing interests.

Director

Sleep Disorders Center

Thomas Jefferson University Hospital

Philadelphia

PA

利益声明

KD is a speaker for Sanofi-Aventis, King Pharmaceuticals, Takeda Pharmaceuticals, Sepracor, and Pfizer; a consultant for Sanofi-Aventis, Takeda Pharmaceuticals, Sepracor, Pfizer, and Neurocrine Biosciences; and has stock in Merck.

Consultant Neurologist

Department of Neurology

Freeman Hospital

Newcastle upon Tyne

UK

利益声明

KA declares that she has no competing interests.

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