In:
European Journal of Neurology, Wiley, Vol. 29, No. 4 ( 2022-04), p. 1227-1231
Kurzfassung:
Augmentation is a paradoxical reaction mainly to dopaminergic medication in patients with restless legs syndrome (RLS), but the exact pathomechanism remains unclear. The aim of this study was to identify factors associated with augmentation in RLS patients. Methods RLS patients with and without current or previous augmentation were recruited. Demographic characteristics, history of smoking, questionnaires for depression, alexithymia, and impulsivity, and RLS severity were obtained. Results We included 122 patients, of whom half had a history of augmentation. Patients with augmentation had a longer disease duration ( p = 0.001), had higher RLS severity scores ( p = 0.013), had higher levodopa equivalent doses ( p 〈 0.001), had higher scores for alexithymia ( p = 0.028), had higher prevalence of impulse control disorders ( p 〈 0.001), more often had a history of smoking ( p = 0.039), were more often currently smoking ( p = 0.015), and had more average pack‐years ( p = 0.016). Conclusions Here, we describe several factors commonly associated with augmentation in RLS. These may help clinicians to screen and treat patients carefully to avoid the challenging side effect of augmentation.
Materialart:
Online-Ressource
ISSN:
1351-5101
,
1468-1331
Sprache:
Englisch
Verlag:
Wiley
Publikationsdatum:
2022
ZDB Id:
2020241-6
