U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Restless legs

MedGen UID:
48427
Concept ID:
C0035258
Disease or Syndrome
Synonym: Restless legs syndrome
SNOMED CT: Willis-Ekbom disease (32914008); Restless legs (32914008); Restless legs syndrome (32914008)
 
HPO: HP:0012452
Monarch Initiative: MONDO:0005391

Definition

Restless Leg Syndrome (RLS) is a condition characterized by an uncomfortable and restless sensation in the legs that occurs after going to bed, often leading to insomnia. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Restless legs

Conditions with this feature

Restless legs syndrome, susceptibility to, 1
MedGen UID:
360293
Concept ID:
C1876177
Finding
Restless legs syndrome (RLS) is a neurologic sleep/wake disorder characterized by uncomfortable and unpleasant sensations in the legs that appear at rest, usually at night, inducing an irresistible desire to move the legs. The disorder results in nocturnal insomnia and chronic sleep deprivation (Bonati et al., 2003). Genetic Heterogeneity of Restless Legs Syndrome RLS1 has been mapped to chromosome 12q. Other susceptibility loci for RLS include RLS2 (608831) on chromosome 14q13-q31; RLS3 (610438) on chromosome 9p24-p22; RLS4 (610439) on chromosome 2q33; RLS5 (611242) on chromosome 20p13; RLS6 (611185) on chromosome 6p21; RLS7 (612853) on chromosome 2p14; and RLS8 (615197) on chromosome 5q31.
L-ferritin deficiency
MedGen UID:
816420
Concept ID:
C3810090
Disease or Syndrome
A rare genetic haematologic disease characterised by decreased or undetectable serum L-ferritin with otherwise normal laboratory parameters. Clinical signs and symptoms include generalised seizures, atypical restless leg syndrome, mild neuropsychologic impairment and progressive hair loss. Asymptomatic cases have also been reported.
Parkinson disease 22, autosomal dominant
MedGen UID:
907886
Concept ID:
C4225238
Disease or Syndrome
Any Parkinson disease in which the cause of the disease is a mutation in the CHCHD2 gene.
Parkinson disease 25, autosomal recessive early-onset, with impaired intellectual development
MedGen UID:
1845571
Concept ID:
C5882680
Disease or Syndrome
Parkinson disease-25 (PARK25) is a progressive neurodegenerative disorder characterized by onset of parkinsonism in late childhood/adolescence and developmental delay/impaired intellectual development. Cognitive impairment is mild to moderate and nonprogressive (Fevga et al., 2023). For a general phenotypic description and a discussion of genetic heterogeneity of Parkinson disease, see 168600.
Neuronopathy, distal hereditary motor, autosomal dominant 11
MedGen UID:
1849676
Concept ID:
C5882697
Disease or Syndrome
Autosomal dominant distal hereditary motor neuronopathy-11 (HMND11) is a peripheral axonal motor neuropathy characterized by juvenile or young-adult onset of distal limb muscle weakness and atrophy mainly affecting the lower limbs, resulting in gait instability and walking difficulties. Foot deformities may also be present. The disorder is usually slowly progressive, and patients remain ambulatory until late adulthood. Some affected individuals may have distal upper limb and hand involvement or mild distal sensory abnormalities, but motor symptoms dominate the clinical picture. Electrophysiologic studies are consistent with a length-dependent axonal motor or sensorimotor neuropathy. Seizures are not present and brain imaging is normal (Beijer et al., 2019). One reported affected individual had a marfanoid habitus and mild speech delay with learning disabilities, suggesting possible expansion of the phenotypic spectrum (Ylikallio et al., 2020). For a discussion of genetic heterogeneity of autosomal dominant distal HMN, see HMND1 (182960).

Professional guidelines

PubMed

Silber MH, Buchfuhrer MJ, Earley CJ, Koo BB, Manconi M, Winkelman JW; Scientific and Medical Advisory Board of the Restless Legs Syndrome Foundation
Mayo Clin Proc 2021 Jul;96(7):1921-1937. doi: 10.1016/j.mayocp.2020.12.026. PMID: 34218864
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Maness DL, Khan M
Am Fam Physician 2015 Dec 15;92(12):1058-64. PMID: 26760592

Recent clinical studies

Etiology

DelRosso LM, Mogavero MP, Bruni O, Ferri R
Sleep Med Clin 2023 Jun;18(2):201-212. doi: 10.1016/j.jsmc.2023.01.008. PMID: 37120162
Jadidi A, Rezaei Ashtiani A, Khanmohamadi Hezaveh A, Aghaepour SM
BMC Complement Med Ther 2022 Dec 31;23(1):1. doi: 10.1186/s12906-022-03814-8. PMID: 36587225Free PMC Article
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Kolla BP, Mansukhani MP, Bostwick JM
Sleep Med Rev 2018 Apr;38:131-140. Epub 2017 Jun 15 doi: 10.1016/j.smrv.2017.06.002. PMID: 28822709
Allen RP
Sleep Med Clin 2015 Sep;10(3):207-14, xi. Epub 2015 Jul 15 doi: 10.1016/j.jsmc.2015.05.022. PMID: 26329430Free PMC Article

Diagnosis

Nanayakkara B, Di Michiel J, Yee BJ
Aust J Gen Pract 2023 Sep;52(9):615-621. doi: 10.31128/AJGP-02-23-6722. PMID: 37666782
DelRosso LM, Mogavero MP, Bruni O, Ferri R
Sleep Med Clin 2023 Jun;18(2):201-212. doi: 10.1016/j.jsmc.2023.01.008. PMID: 37120162
Silber MH, Buchfuhrer MJ, Earley CJ, Koo BB, Manconi M, Winkelman JW; Scientific and Medical Advisory Board of the Restless Legs Syndrome Foundation
Mayo Clin Proc 2021 Jul;96(7):1921-1937. doi: 10.1016/j.mayocp.2020.12.026. PMID: 34218864
Gossard TR, Trotti LM, Videnovic A, St Louis EK
Neurotherapeutics 2021 Jan;18(1):140-155. Epub 2021 Apr 20 doi: 10.1007/s13311-021-01019-4. PMID: 33880737Free PMC Article
Klingelhoefer L, Bhattacharya K, Reichmann H
Clin Med (Lond) 2016 Aug;16(4):379-82. doi: 10.7861/clinmedicine.16-4-379. PMID: 27481386Free PMC Article

Therapy

Jadidi A, Rezaei Ashtiani A, Khanmohamadi Hezaveh A, Aghaepour SM
BMC Complement Med Ther 2022 Dec 31;23(1):1. doi: 10.1186/s12906-022-03814-8. PMID: 36587225Free PMC Article
Abboud M
Nutrients 2022 Mar 3;14(5) doi: 10.3390/nu14051076. PMID: 35268051Free PMC Article
Silvestri R, DelRosso LM
Sleep Med Clin 2021 Jun;16(2):305-314. Epub 2021 Apr 10 doi: 10.1016/j.jsmc.2021.02.006. PMID: 33985655
Klingelhoefer L, Bhattacharya K, Reichmann H
Clin Med (Lond) 2016 Aug;16(4):379-82. doi: 10.7861/clinmedicine.16-4-379. PMID: 27481386Free PMC Article
Leschziner G, Gringras P
BMJ 2012 May 23;344:e3056. doi: 10.1136/bmj.e3056. PMID: 22623643

Prognosis

Miller MA, Mehta N, Clark-Bilodeau C, Bourjeily G
Chest 2020 Jan;157(1):184-197. Epub 2019 Oct 14 doi: 10.1016/j.chest.2019.09.026. PMID: 31622589Free PMC Article
Pengo MF, Won CH, Bourjeily G
Chest 2018 Jul;154(1):196-206. Epub 2018 Apr 19 doi: 10.1016/j.chest.2018.04.005. PMID: 29679598Free PMC Article
Mackie S, Winkelman JW
Sleep Med Clin 2015 Sep;10(3):351-7, xv. Epub 2015 Jun 27 doi: 10.1016/j.jsmc.2015.05.009. PMID: 26329445
Prosperetti C, Manconi M
Sleep Med Clin 2015 Sep;10(3):323-9, xiv. Epub 2015 Jun 22 doi: 10.1016/j.jsmc.2015.05.016. PMID: 26329442
Carter KA, Hathaway NE, Lettieri CF
Am Fam Physician 2014 Mar 1;89(5):368-77. PMID: 24695508

Clinical prediction guides

Harrer P, Mirza-Schreiber N, Mandel V, Roeber S, Stefani A, Naher S, Wagner M, Gieger C, Waldenberger M, Peters A, Högl B, Herms J, Schormair B, Zhao C, Winkelmann J, Oexle K
Mov Disord 2023 Aug;38(8):1410-1418. Epub 2023 May 22 doi: 10.1002/mds.29440. PMID: 37212434
Winkelmann J, Allen RP, Högl B, Inoue Y, Oertel W, Salminen AV, Winkelman JW, Trenkwalder C, Sampaio C
Mov Disord 2018 Jul;33(7):1077-1091. Epub 2018 May 14 doi: 10.1002/mds.27260. PMID: 29756335
Mungan S, Ozcan M, Orhan G, Titiz A, Arli B, Koseoglu S, Ak F, Dere HH
J Pak Med Assoc 2016 May;66(5):568-73. PMID: 27183938
Sieminski M, Losy J, Partinen M
Sleep Med Rev 2015 Aug;22:15-22. Epub 2014 Oct 12 doi: 10.1016/j.smrv.2014.10.002. PMID: 25454673
Johns MW
Sleep 1991 Dec;14(6):540-5. doi: 10.1093/sleep/14.6.540. PMID: 1798888

Recent systematic reviews

Kuang B, Li D, Lobbezoo F, de Vries R, Hilgevoord A, de Vries N, Huynh N, Lavigne G, Aarab G
Sleep Med 2022 Jan;89:31-47. Epub 2021 Nov 19 doi: 10.1016/j.sleep.2021.11.008. PMID: 34879286
Büttner-Teleagă A, Kim YT, Osel T, Richter K
Int J Environ Res Public Health 2021 Nov 7;18(21) doi: 10.3390/ijerph182111696. PMID: 34770209Free PMC Article
Lu Q, Zhang X, Wang Y, Li J, Xu Y, Song X, Su S, Zhu X, Vitiello MV, Shi J, Bao Y, Lu L
Sleep Med Rev 2021 Aug;58:101436. Epub 2021 Jan 22 doi: 10.1016/j.smrv.2021.101436. PMID: 33571887
DelRosso LM, Picchietti DL, Spruyt K, Bruni O, Garcia-Borreguero D, Kotagal S, Owens JA, Simakajornboon N, Ferri R; International Restless Legs Syndrome Study Group (IRLSSG)
Sleep Med Rev 2021 Apr;56:101406. Epub 2020 Dec 1 doi: 10.1016/j.smrv.2020.101406. PMID: 33341437
Kolla BP, Mansukhani MP, Bostwick JM
Sleep Med Rev 2018 Apr;38:131-140. Epub 2017 Jun 15 doi: 10.1016/j.smrv.2017.06.002. PMID: 28822709

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...