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Re: RlS or PLM

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In a message dated 5/28/99 12:22:53 AM !!!First Boot!!!, STOUTJ@...

writes:

<< Do you all feel that Periodic Leg

movement is a different syndrome or what ever than Restless Leg. I read

your notes and it is hard to beleive how some of you suffer and in my I

ignorance. I wonder if some of you don't have Parkinson. Now I am new

to this all so take it easy on me. I wonder if I belong to this group >>

Periodic Leg Movement Syndrome (or PLMS/PLMD) are stereotyped, repetitive

flexion movements of the legs during sleep that last 0.5 to 5 seconds and

occur semirhythmically at intervals of usually 20 to 40 seconds. PLMS are

common, especially in elderly people, and are usually NOT associated with

RLS! Nevertheless, about 80% of people with RLS will experience PLMS. PLMS

associated with RLS may sometimes cause arousals that fragment sleep and

result in excessive daytime sleepiness; occasionally, PLMS without RLS may

produce similar effects. PLMS is " easy " to diagnose by doing a sleep study;

whereas, RLS can NOT be diagnosed by doing a sleep study. PLMS is often

" pre-diagnosed " by your bed partner because..........well, you know why. My

wife diagnosed my PLMS because she got tired of buying new sheets every few

months after I would shread them routinely and because she got tired of my

kicking her. I would never deliberately kick my wife because I am afraid

that she would kick back.

It is important to note that some of the RLS treatment meds will NOT effect

PLMS.

The pathogenesis of RLS and PLMS is uncertain. In my opinion, I think that

they are two " different " disorders that share similar results.

RAINBOWPED@...

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In a message dated 5/28/99 5:54:06 AM !!!First Boot!!!, kathleen@...

writes:

<< I was

just diagnosed with sleep apnea a couple three months ago and the sleep

study showed LOTS of leg

movement (none of which was I aware). >>

PLMS is in and by itself " almost " diagnostic of sleep apnea but not of RLS;

whereas, most (around 80%) people with RLS have some PLMS.

Studies have shown a very " nice " correlation with sleep apneic " spells " and

the occurence of PLMS. Seems like the apnea causes the PLMS. Sleep

obstructive apnea does not cause nor contribute to RLS; however, it does seem

that many people with RLS also suffer from sleep obstructive apnea thereby

causing PLMS.

Anyone confused yet?

RAINBOWPED@...

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Well, no I'm really confused. I suffer far more from PLMD than RLS, although

there are nights when I would definently retract that statement. My PLMD does

not happen during sleep, however, but, like RLS, when I'm trying to get to

sleep. And I'm talking kicks a foot (in terms of 12 inches) in the air and on

really bad nights my left arm is doing its thing as well.

Since I haven't had normal sleep - without medication - in years, I have no

idea if the PLMD continues through the night. I do have the 3 a.m. bathroom

call, but am able to return to sleep.

I finally (after spending two days with absolutely no sleep, couldn't sit

down, had to walk and even that didn't help) got off the Trazadone... back to

Klonopin. The PLMD has stopped completely (at least as far as I know), but am

having to take 2 mg instead of the preferred 1 mg of Klonopin which leaves me

pretty dopey until around noon. Better the last couple of days, so maybe this

is just something my body needs to adjust to.

Interested in learning more about PLMD....

- 56 in WestTexas

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