title: Arm restlessness as the initial symptom in restless legs syndrome.
abstract: BACKGROUND
  Upper extremity symptoms can develop in restless legs syndrome, but are rarely the initial symptom.
  
  
  OBJECTIVE
  To report a case of restless legs syndrome with restless arms as the initial symptom, and to review the literature.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  A 78-year-old man had arm restlessness and sleep disturbance. A polysomnogram demonstrated subclinical periodic leg movements 1 year after the onset of his symptoms.
  
  
  RESULTS
  Two years later, he developed lower extremity symptoms that fit the criteria for restless legs syndrome. To our knowledge, this is the first case of restless legs syndrome with arm restlessness as the initial symptom in an otherwise neurologically normal person.
  
  
  CONCLUSIONS
  Restless legs syndrome may initially exhibit upper extremity symptoms.
authors.affiliation: Department of Neurology, Loyola University Medical Center, Maywood, IL 60153, USA. tfreedo@lumc.edu
authors.forename: Thomas
authors.initials: T
authors.lastname: Freedom
authors.forename: Michael P
authors.initials: MP
authors.lastname: Merchut
mesh_terms: D000368:Aged; D001132:Arm / Q000294:innervation*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D017286:Polysomnography; D011595:Psychomotor Agitation / Q000175:diagnosis*; D012148:Restless Legs Syndrome / Q000175:diagnosis* / Q000503:physiopathology