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Yıl:2018; Cilt: 11; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2018;11(3):65-73
Huzursuz Bacak Sendromu
KS Karataş, Ç Hocaoğlu
Recep Tayyip Erdoğan Üniversitesi, Rize
Huzursuz bacak sendromu (HBS), Willis-Ekbom hastalığı olarak da bilinen, bacakları hareket ettirme dürtüsü ile genellikle rahatsız edici, hoşa gitmeyen, garip hisler, anormal duyularla karakterize, kronik seyirli bir bozukluktur. Genel populasyonda HBS prevelansı erişkinde %5-15 arasında iken çocukluk çağında %2-4 arasında değişmektedir. HBS'nin patofizyolojisinde dopaminerjik sistem, santral sinir sistemi demir düzeyleri bozuklukları ve genetik geçiş üzerinde çalışılmıştır. HBS birincil ve ikincil olmak üzere iki şekilde ortaya çıkar. Birincil HBS idiopatik ya da sporadik olabilir. İkincil HBS demir eksikliği, böbrek yetersizliği, gebelik, nöropatiler gibi birçok hastalıkta görülebilmektedir. Son zamanlarda HBS ve psikiyatrik hastalıklar ilişkisine odaklanılmıştır. HBS Uyku Bozukluklarının Uluslararası Sınıflaması, Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı, Uluslararası Huzursuz Bacak Çalışma Grubu ölçütlerine göre tanımlanabilir. Birçok çalışma guruplarının tanımlamalarına rağmen HBS halen yanlış tanı konulan ya da yanlış tedavi edilen bir hastalık olabilmektedir.
Restless Leg Syndrome
Restless legs syndrome (RLS), also known as Willis-Ekbom disease, is a chronic courses disorder, characterized by an urge to move legs usually accompanied by uncomfortable, unlike, abnormal sensations. The prevalence of RLS ranges from 5% to 15% and 2% to 4% during childhood in general population. The pathophysiology of RLS is studied on dopaminergic system, impaired central nervous system iron levels and genetic linkages. RLS appears in two forms, primary and secondary. The primary HBS may be idiopathic or sporadic. The secondary RLS can be seen with several diseases such as iron deficiency, renal failure, pregnancy, neuropathy. Recently, it is focused on the relation of RLS and psychiatric disorders. RLS can be defined according to diagnostic criteria of Internatiol Clasification of Sleep Disorders, Diagnostic and Statistical Manual of Mental Disorders, International RLS Study Group. In spite of several study groups definition RLS can stil be misdiagnosed or mistreated disorder.

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